Divya Vangipuram Wyatt, MD is a student in an organized health care education training program in Lubbock, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Divya Vangipuram Wyatt, MD NPI is 1679139968. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3601 4TH ST STOP 6207
LUBBOCK, TX
ZIP 79430-207
Phone: (806) 743-2929
The NPI 1679139968 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/13/2019 and was last updated on 4/22/2024.