Individual
DR. KIRIT D TRIVEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
568 RUIN CREEK RD, SUITE 001, HENDERSON, NC 27536-2880
(252) 438-7102
(252) 438-7102
Mailing address
568 RUIN CREEK RD, SUITE 001, HENDERSON, NC 27536-2880
(252) 438-7102
(252) 438-7102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20854
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0142Q
BLUE CROSS BLUE SHIELD
NC
01
—
432389
ANTHEM BC/BS
NC
05
—
890142Q
—
NC
Enumeration date
09/26/2006
Last updated
11/11/2009
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