Venu Divi
Medical Specialty
Professional ID
- NPI: 1245390228
- PECOS ID: 9537268826
- Enrollment ID: I20170330000917
- Credential(MD, DO, DPM): MD
- Medical School: Northeastern Ohio Universities College Of Medicine
- Medical School Graduation Year: 2001
Hospital Service
- Hospital CCN1: 050078
- Business Name (LBN)1: Providence Little Co Of Mary Med Ctr San Pedro
- Hospital CCN2: 120028
- Business Name (LBN)2: North Hawaii Community Hospital
- Hospital CCN3: 050351
- Business Name (LBN)3: Torrance Memorial Medical Center
- Hospital CCN4: 120005
- Business Name (LBN)4: Hilo Medical Center
Medical Practices
- Organization Name: Aloha Ent, Llc
- Group Practice ID assigned by PECOS: 2668757808
- Number of Group Practice member: 0
Location
- Address1: 64-1035 Mamalahoa Hwy
- Address2: Suite K
- City: Kamuela
- State: Hawaii
- Zip Code: 96743
- Phone Number: (808)887-0706
Medical Practices
- Organization Name: Prohealth Partners, A Medical Group
- Group Practice ID assigned by PECOS: 2769388412
- Number of Group Practice member: 138
Location
- Address1: 350 W 5th St
- Address2: Suite 209
- City: San Pedro
- State: California
- Zip Code: 90731
- Phone Number: (310)521-6386
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes