Organization
TARUNENDU S DWIVEDI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARUNENDU SHEKHAR DWIVEDI MD (PRESIDENT)
(803) 329-7778
Entity
Organization
Contact information
Practice address
1721 EBENEZER RD, SUITE 265, ROCK HILL, SC 29732-4103
(803) 329-7778
(803) 329-7843
Mailing address
1721 EBENEZER RD, SUITE 265, ROCK HILL, SC 29732-4103
(803) 329-7778
(803) 329-7843
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26861
SC
2084P0804X
Child & Adolescent Psychiatry Physician
26861
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268613
—
SC
Enumeration date
01/08/2007
Last updated
04/24/2013
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