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Divya Pannala, M.D.
NPI 1093949703 · Family Medicine Physician · Modesto, CA
Divya Pannala, M.D. is a Family Medicine Physician provider in Modesto, CA (NPI 1093949703).
Provider details
- NPI number
- 1093949703
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A116350 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3612 Dale Rd
Modesto, CA 95356-0500
Phone: (209) 522-0146
Street-level locationGet directions
Mailing address
600 Coffee Rd
Modesto, CA 95355-4201
Registry dates
- Enumerated
- 2009-05-08
- Last updated
- 2012-11-26
Frequently asked questions
- What is Divya Pannala's NPI number?
- Divya Pannala's National Provider Identifier (NPI) is 1093949703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Divya Pannala's specialty?
- Divya Pannala is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Divya Pannala located?
- Divya Pannala's practice location on file with NPPES is 3612 Dale Rd, Modesto, CA 95356-0500.
- What is Divya Pannala's phone number?
- The practice phone number listed in the NPPES registry for Divya Pannala is (209) 522-0146.
- Is Divya Pannala's NPI active?
- Yes — Divya Pannala's NPI (1093949703) is active in the NPPES registry as of the last update on 2012-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.