Individual
SUNITA A DWIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9880 ANGIES WAY STE 420, LOUISVILLE, KY 40241-2850
(502) 629-5400
(502) 629-5492
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40315
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000503165
ANTHEM- NORTON CMA
KY
01
—
000023027N
HUMANA- NORTON CMA
KY
05
—
200848320
—
IN
01
—
2838694000
PASSPORT ADVANTAGE- NORTON CMA
KY
01
—
50014624
PASSPORT- NORTON CMA
KY
05
—
64130784
—
KY
01
—
P00415209
RAILROAD MEDICARE- NORTON CMA
KY
Enumeration date
01/08/2007
Last updated
08/22/2024
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