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Individual

BHOODEV TIWARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
27830 BRADLEY RD, SUN CITY, CA 92586-2201
(951) 672-3888
(951) 672-3758
Mailing address
27830 BRADLEY RD, SUN CITY, CA 92586-2201
(951) 672-3888
(951) 672-3758

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A49209
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A492090
CA
01
1326047309
NPI
CA
01
A49209
LICENSE
CA
Enumeration date
07/20/2005
Last updated
01/21/2010
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