| Dr Todd Lee Divan, DPM | |
|
1415 E Reelfoot Ave, Union City, TN 38261-5812 | |
| (731) 885-0220 | |
| (731) 885-0216 |
| Full Name | Dr Todd Lee Divan |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1415 E Reelfoot Ave, Union City, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235201898 | NPI | - | NPPES |
| 016-004-761 | Medicaid | IL | |
| 480019679 | Other | IL | PALMETTO - MEDICARE |
| 09206992 | Other | IL | BCBS INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | 016-004761 (Illinois) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 734 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Todd Lee Divan, DPM 1415 E Reelfoot Ave, Union City, TN 38261-5812 Ph: (731) 885-0220 | Dr Todd Lee Divan, DPM 1415 E Reelfoot Ave, Union City, TN 38261-5812 Ph: (731) 885-0220 |
Raines Foot Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1415 E Reelfoot Ave, Union City, TN 38261 Phone: 731-885-0220 | |
Dr. Bhekumuzi Mcglen Khumalo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1100 Bishop St, Union City, TN 38261 Phone: 731-599-9909 Fax: 731-599-9970 | |
Stephen D Raines Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1415 E Reelfoot Ave, Union City, TN 38261 Phone: 731-885-0220 Fax: 731-885-0216 | |
Khumalo Foot And Ankle Clinic, Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 1100 E. Bishop St, Union City, TN 38261 Phone: 731-599-9909 Fax: 731-599-9970 | |
Upperline Healthcare, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1415 E Reelfoot Ave, Union City, TN 38261 Phone: 731-885-0220 | |
Northwest Tennessee Foot Clinic, Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1020 E Reelfoot Ave, Union City, TN 38261 Phone: 731-885-5131 Fax: 731-885-5335 |