DIVYARADHA KRISHNAN SEETHAPATHY MD NPI 1902548381

NPI Information

  • NPI: 1902548381
  • Provider Name: DIVYARADHA KRISHNAN SEETHAPATHY, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6475 CAMDEN AVE STE 105
    SAN JOSE, CA
    ZIP 95120
  • Phone: (408) 997-9155

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NPI Details

Divyaradha Krishnan Seethapathy, MD is a family medicine in San Jose, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Divyaradha Krishnan Seethapathy, MD NPI is 1902548381. 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:

6475 CAMDEN AVE STE 105
SAN JOSE, CA
ZIP 95120-847
Phone: (408) 997-9155

The NPI 1902548381 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 4/7/2022 and was last updated on 11/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineA205066CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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