Individual
DR. ROHIT DWIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12361 W BOLA DR STE 109, SURPRISE, AZ 85378-9021
(623) 227-1000
(623) 227-2000
Mailing address
12361 W BOLA DR STE 109, SURPRISE, AZ 85378-9021
(623) 227-1000
(623) 227-2000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
30335
AZ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
30335
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0715850
BLUE CROSS
AZ
01
—
P00067262
RAILROAD MEDICARE
AZ
01
—
P00626610
RAILROAD
AZ
Enumeration date
04/26/2006
Last updated
04/05/2022
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