Individual
AJIT DWIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669
(713) 442-0000
Mailing address
8901 BOONE RD, HOUSTON, TX 77099-1659
(281) 454-0500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2310
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280140901
—
TX
05
—
280140908
—
TX
05
—
280410903
—
TX
Enumeration date
07/31/2006
Last updated
06/15/2021
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