Tarunendu S Dwivedi Md Pc | |
1721 Ebenezer Rd Suite 265 Rock Hill SC 29732-4103 | |
(803) 329-7778 | |
(803) 329-7843 |
Full Name | Tarunendu S Dwivedi Md Pc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 1721 Ebenezer Rd, Rock Hill, South Carolina |
Authorized Official Name and Position | Tarunendu Shekhar Dwivedi (PRESIDENT) |
Authorized Official Contact | 8033297778 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tarunendu S Dwivedi Md Pc 1721 Ebenezer Rd Suite 265 Rock Hill SC 29732-4103 Ph: (803) 329-7778 | Tarunendu S Dwivedi Md Pc 1721 Ebenezer Rd Suite 265 Rock Hill SC 29732-4103 Ph: (803) 329-7778 |
NPI Number | 1679622013 |
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Provider Enumeration Date | 01/08/2007 |
Last Update Date | 04/24/2013 |
Medicare PECOS PAC ID | 9436182797 |
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Medicare Enrollment ID | O20050916000199 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679622013 | NPI | - | NPPES |
268613 | Medicaid | SC |
Provider Name | Tarunendu Shekahar Dwivedi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1063481844 PECOS PAC ID: 4688607948 Enrollment ID: I20050919000036 |
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