Organization
RAJENDRA H DWIVEDI M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJENDRA H DWIVEDI M.D. M.S. (UROLOGIST)
(559) 781-2403
Entity
Organization
Contact information
Practice address
623 W PUTNAM AVE, PORTERVILLE, CA 93257
(559) 781-2403
(559) 781-4334
Mailing address
623 W PUTNAM AVE, PORTERVILLE, CA 93257-3212
(559) 781-2403
(559) 781-4334
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
00A337030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A337030
—
CA
Enumeration date
02/06/2008
Last updated
06/20/2008
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