Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divya Pannala, MD

Individual provider Family Medicine Physician · NPI 1093949703

Divya Pannala, MD is a Family Medicine Physician in Modesto, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3612 Dale Rd
Modesto, CA 95356-0500
Phone: (209) 522-0146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A116350 (CA)

Record details

NPI number1093949703
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2009
Last updated in NPPESNovember 26, 2012
Mailing address600 Coffee Rd, Modesto, CA 95355-4201

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