Individual
DR. DIVYANG J TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042
(703) 776-4289
(703) 780-9487
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4289
(703) 780-9487
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101045180
VA
207RH0000X
Hematology (Internal Medicine) Physician
0101045180
VA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
0101045180
VA
207RH0003X
Hematology & Oncology Physician
0101045180
VA
207RX0202X
Medical Oncology Physician
0101045180
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005832560
—
VA
01
—
020267699
DEPT OF LABOR
—
01
—
0545568
AETNA
—
01
—
06400001
CAREFIRST BC BS
DC
01
—
070372
ANTHEM BC BS
VA
01
—
202021905
CIGNA
—
01
—
296965
AMERIGROUP
—
01
—
3600352
UHC
—
01
—
411294
MAMSI
—
Enumeration date
06/23/2006
Last updated
10/19/2022
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