Dr. Todd Lee Divan is a Union City, Tennessee based male podiatrist who is specialized in Podiatric Foot Surgery. Active license number of Dr. Todd Lee Divan for Podiatric Foot & Ankle Surgery is 734 in Tennessee. Dr. Todd Lee Divan provide comprehensive medical and surgical care for a wide spectrum of foot conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Dr. Todd Lee Divan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Foot Surgery
Credentials:
DPM
Gender:
Male
Practice Address:
1415 E Reelfoot Ave, Union City, Tennessee, 38261-5812
Phone:
731-885-0220
Fax:
731-885-0216
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1235201898
NPI Enumeration Date:
15 Nov, 2006
NPI Last Update On:
02 May, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Todd Lee Divan are as mentioned below.
License Number
Specialization
State
Status
734
Podiatric Foot & Ankle Surgery
Tennessee
Primary
016-004761
Podiatric Foot Surgery
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Todd Lee Divan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
016-004-761
Medicaid
Illinois
480019679
Other
Illinois
PALMETTO - MEDICARE
09206992
Other
Illinois
BCBS INSURANCE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1415 E Reelfoot Ave, Union City, Tennessee
Zip:
38261-5812
Phone Number:
731-885-0220
Fax Number:
731-885-0216
Patients can reach Dr. Todd Lee Divan at 1415 E Reelfoot Ave, Union City, Tennessee or can call to book an appointment on 731-885-0220. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.