Divya Mallam, MD
Divya Mallam, MD practises Gastroenterology in New York, New York. Qualified in 2011, 15 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, New York and Wisconsin.
- Years since qualifying
- 15
- Licensed in
- CA, NY, WI
- In the registry since
- 2011
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
80 Maiden Ln Rm 1204New York, NY 10038-4721
Phone: (212) 427-8761
Fax: (212) 427-8762
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 855 N Westhaven Dr, Oshkosh, WI 54904-7668 — (920) 303-8700
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X · Licence 103660-875 (WI) |
|---|---|
| Gastroenterology Physician | Taxonomy 207RG0100X · Licence A123488 (CA) |
| Gastroenterology Physician | Taxonomy 207RG0100X · Licence 328761 (NY) |
Record details
| NPI number | 1437437613 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 22, 2011 |
| Last updated in NPPES | July 14, 2026 |
| Certification date | July 14, 2026 |
Medicare enrollment
| Medicare specialty | GASTROENTEROLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Aurora Medical Group, Inc. — 3741 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Medicare patients and services, 2024
| Medicare patients | 65 |
|---|---|
| Services billed | 125 |
| Average patient age | 73 |
Payments from drug and device companies, 2025
| Food and Beverage | $3,615 |
|---|
Practises at
- Aurora Medical Ctr Oshkosh Hospital · Oshkosh, WI · listed as Aurora Medical Center of Oshkosh, Inc
Colleagues at Aurora Medical Group, Inc
- Mrs. Catharine Aune, CRNP Family Nurse Practitioner · Green Bay, WI
- Nasrein Bahrami, RN Nurse Practitioner · Milwaukee, WI
- Mrs. Monica Teresa Bradtke, APNP Nurse Practitioner · Wauwatosa, WI
- Alexander Haberman, DO Urology Physician · Summit, WI
- Mrs. Christie Ann Hanrahan, AGPCNP-BC Nurse Practitioner · West Allis, WI
- Samie Z Meskele, MD Internal Medicine Physician · Milwaukee, WI
- Carla Andreina Montero Conrotto, MD Internal Medicine Physician · Suamico, WI
- Miguel Angel Reyes Chavez, MD Internal Medicine Physician · Summit, WI
- Nataly Stenzel, FNP Nurse Practitioner · Milwaukee, WI
- Shannon M Thomas, NP Nurse Practitioner · Menomonee Falls, WI
- Kate W Vasconcellos, MD Surgery Physician · Milwaukee, WI
- Dr. Colin Wruck, DO Hospitalist Physician · Sheboygan, WI
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