Individual provider · Type 1 NPI

Timothy D. Divens, MD

Diagnostic Radiology Physician · Indianapolis, IN

NPI number 1164416475 Active

Practice location

9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307

Fax (317) 579-2130

Mailing address

9998 Crosspoint Blvd, Ste 200
Indianapolis, IN 46256-3307

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X1050545 (IN)
Vascular & Interventional Radiology Physician 2085R0204X01050545A (IN)
Diagnostic Radiology Physician Primary 2085R0202X01050545A (IN)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1164416475

Timothy D. Divens, MD's National Provider Identifier is 1164416475, issued on Sep 1, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Indianapolis, IN. The record was last updated on Dec 24, 2020.