Individual
GOPALKRISHA M TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN HOSPITAL, LEWISTOWN, PA 17044-1167
(717) 242-7208
(717) 242-7540
Mailing address
PO BOX 750, SCRANTON, PA 18501-0750
(570) 346-7797
(570) 342-9802
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD 023488 E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009395050004
—
PA
Enumeration date
10/18/2005
Last updated
02/20/2008
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