Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Divya Madiraju

Individual provider General Practice Dentistry · NPI 1356035372

Divya Madiraju practises General Practice Dentistry in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4200 S Fwy # 2
Fort Worth, TX 76115-1400
Phone: (682) 384-4678
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 40713 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356035372
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2023
Last updated in NPPESSeptember 1, 2026
Certification dateSeptember 1, 2026

Other providers in Fort Worth