Individual
VIVEK K TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 479-5418
(419) 479-5420
Mailing address
4235 SECOR RD, TOLEDO, OH 43623
(419) 479-5418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35071088
OH
208VP0000X
Pain Medicine Physician
Primary
35071088
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295112
—
OH
01
—
050087870
RAILROAD MEDICARE
—
Enumeration date
08/15/2005
Last updated
05/01/2018
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