Individual
DR. GAURAV TRIKHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 WHITEHALL DR, ST AUGUSTINE, FL 32086-5266
(904) 825-4500
(904) 825-3672
Mailing address
7015 A C SKINNER PKWY STE 1, JACKSONVILLE, FL 32256-6932
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME105077
FL
207RH0003X
Hematology & Oncology Physician
Primary
ME105077
FL
207RI0200X
Infectious Disease Physician
ME105077
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001491500
—
FL
01
—
146AU
FLORIDA BLUE
FL
01
—
CP887Y
MEDICARE
FL
01
—
P01937394
RR MEDICARE
FL
Enumeration date
04/23/2008
Last updated
04/14/2022
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