Dwivedi, Ghanshyam Pradyumna
Dwivedi, Ghanshyam Pradyumna is an sole proprietor health care provider with primary practice located at 1778 Metromedical Dr , Fayetteville NC 28304-3861. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dwivedi, Ghanshyam Pradyumna can be contacted via phone (910) 483-4680.Contact Information
Primary practice address
1778 Metromedical Dr
Fayetteville NC 28304-3861
Phone: (910) 483-4680
Fax: (910) 484-2704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 33230 | North Carolina |
Profile Details
| NPI number | 1033112602 |
|---|---|
| LBN Legal business name | Dwivedi, Ghanshyam Pradyumna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2005 |
| Last updated | Apr 9th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033112602 | NPPES |
| North Carolina | Other | 1033112602 | NPI |
| North Carolina | MEDICAID | 8929604 | NPI |
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