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

Divya Raghavan, MD

Individual provider Internal Medicine Physician · NPI 1972852333

Divya Raghavan, MD is a Nephrology in Urbana, Illinois. Qualified in 2011, 15 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Utah.

Years since qualifying
15
Licensed in
IL, UT
In the registry since
2012
Specialties on file
2
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

611 W Park St Carle Forum Ll
Urbana, IL 61801-2500
Phone: (217) 383-3110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 9423487-1205 (UT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125061317 (IL)

Record details

NPI number1972852333
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 31, 2012
Last updated in NPPESNovember 12, 2021
Certification dateNovember 12, 2021
Mailing address30n 1900 E 4r312, Salt Lake City, UT 84132-0006

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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