Individual
DR. RAJ H DWIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
(559) 781-2403
(559) 781-4334
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00A337030
CA
208800000X
Urology Physician
00A337030
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A337030
—
CA
Enumeration date
11/09/2006
Last updated
09/11/2025
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