Individual
PAVITRI DWIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8601 VETERANS HWY STE 200, MILLERSVILLE, MD 21108-1566
(410) 729-0424
Mailing address
900 ELKRIDGE LANDING RD FL 2, LINTHICUM, MD 21090-2924
(443) 462-5010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0100894
MD
Other
Enumeration date
05/14/2020
Last updated
08/28/2024
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