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Individual

DR. TARUNENDU SHEKHAR DWIVEDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1721 EBENEZER RD, SUITE 265, ROCK HILL, SC 29732-4103
(803) 329-7778
(803) 329-7843
Mailing address
1721 EBENEZER RD, SUITE 265, ROCK HILL, SC 29732-4103
(803) 329-7778
(803) 329-7843

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26861
SC
2084P0804X
Child & Adolescent Psychiatry Physician
26861
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
268613
SC
Enumeration date
03/15/2006
Last updated
09/02/2025
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