# KIRAN TRIVEDI DO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205016110
- **Authorized official:** DR. KIRAN TRIVEDI D.O. (DOCTOR)
- **Authorized official phone:** (631) 859-1920

## Contact information

- **Practice address:** 1 GRANT AVE, ISLIP, NY 11751-3543
- **Practice address phone:** (631) 859-1920
- **Practice address fax:** (631) 859-5019
- **Mailing address:** 26 RAILROAD AVE \# 202, BABYLON, NY 11702-2204
- **Mailing address phone:** (631) 859-1920
- **Mailing address fax:** (631) 859-5019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 237997-1 | NY | Yes |

## Other

- **Enumeration date:** 11/07/2007
- **Last updated:** 09/10/2014