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Individual

GARGI M DWIVEDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4455 E CAMELBACK RD STE D155, PHOENIX, AZ 85018-2888
(480) 626-2444
Mailing address
PO BOX 88747, MILWAUKEE, WI 53288-8747
(480) 626-2444

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33472
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7627675
AETNA
AZ
01
AZ0774830
BLUE CROSS BLUE SHEILD
AZ
Enumeration date
10/10/2005
Last updated
01/10/2026
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