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Organization
KIRIT D TRIVEDI MD PA
Active
Organization
KIRIT D TRIVEDI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRIT D TRIVEDI MD (PRESIDENT KIRIT D TRIVEDI MD PA)
(252) 438-7102
Entity
Organization
Contact information
Practice address
568 RUIN CREEK ROAD, SUITE 001, HENDERSON, NC 27536
(252) 438-7102
(252) 438-7102
Mailing address
568 RUIN CREEK ROAD, SUITE 001, HENDERSON, NC 27536
(252) 438-7102
(252) 438-7102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20854
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0142Q
BC BS
—
01
—
432389
ANTHEM BC BS
—
05
—
890142Q
—
NC
Enumeration date
04/28/2006
Last updated
08/22/2020
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