Individual
AMIT J DWIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
40138
KY
2086S0129X
Vascular Surgery Physician
Primary
40138
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200855340
—
IN
01
—
50012628
PASSPORT
KY
05
—
64123706
—
KY
Enumeration date
08/29/2006
Last updated
06/27/2018
Update your record
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