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TARUNENDU S DWIVEDI MD PC NPI 1679622013


NPI Information

NPI: 1679622013
Provider Name: TARUNENDU S DWIVEDI MD PC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1721 EBENEZER RD
SUITE 265
ROCK HILL, SC
ZIP 29732
Phone: (803) 329-7778
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TARUNENDU S DWIVEDI MD PC is a psychiatry psychiatry neurology in Rock Hill, SC. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. TARUNENDU S DWIVEDI MD PC NPI is 1679622013. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1721 EBENEZER RD
SUITE 265
ROCK HILL, SC
ZIP 29732-103
Phone: (803) 329-7778
Fax: (803) 329-7843

The provider's authorized official is Tarunendu Shekhar Dwivedi .
The authorized official title is President and has the following contact phone number (803) 329-7778.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 4/24/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry26861SOUTH CAROLINANo
22084P0800XPsychiatry & NeurologyPsychiatry26861SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1268613MEDICAIDSOUTH CAROLINA
2AA10688333MEDICARE PINSOUTH CAROLINA
3I40307MEDICARE UPINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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