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

Dr. Divyasudha Mohan, DO

Individual provider Family Medicine Physician · NPI 1336597780

Dr. Divyasudha Mohan, DO is a Family Practice in Philadelphia, Pennsylvania. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2016, 10 years ago. Practices with Aria Health Physician Services, a 480-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
10
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
PA
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1139 E Luzerne St
Philadelphia, PA 19124-5234
Phone: (215) 537-5094
Fax: (215) 537-5096
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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 OS019595 (PA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence OS019595 (PA)

Record details

NPI number1336597780
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 26, 2016
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2016 (10 years in practice)
Group practice Aria Health Physician Services — 480 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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