Individual provider · NPI-1

Dimple Ajwani, D.O.

Family Medicine · Roseville, CA

NPI number1053687152
StatusActive
Last updated in NPPESAug 24, 2020

Details

NPI
1053687152
Entity type
Individual (NPI-1)
Name
Dimple Ajwani
Credential
D.O.
Sex
Female
Sole proprietor
No
Enumeration date
Mar 22, 2012
Certification date
Aug 24, 2020
Last updated
Aug 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine20A12842CAYes
207QA0505X Family Medicine, Adult Medicine20A12842CA

Practice location

1 Medical Plaza Dr
Roseville, CA 95661-3037

Phone 916-781-1927

Mailing address

Po Box 255228
Sacramento, CA 95865-5228

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