Individual
RAJESH M TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 VALLEY AVE, WEST BEND, WI 53095-5312
(262) 338-1123
(262) 338-7684
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 338-1123
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40478
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3248100
—
WI
Enumeration date
08/24/2006
Last updated
10/17/2023
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