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

Kanneganti Divya, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861912511

Kanneganti Divya, MD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2017
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

243 Charles St
Boston, MA 02114-3002
Phone: (617) 573-3992
Fax: (617) 573-3559
Show map & directions

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

Additional practice locations (1)

  • 120 Mineola Blvd Ste 210, Mineola, NY 11501-4077 — (516) 663-4600

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 285729 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861912511
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2017
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

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