Individual
MEHUL S TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
319 S MANNING BLVD, SUITE 304, ALBANY, NY 12208-1742
(518) 525-5206
(518) 525-5209
Mailing address
319 S MANNING BLVD, SUITE 304, ALBANY, NY 12208-1742
(518) 525-5206
(518) 525-5209
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
252830
NY
208600000X
Surgery Physician
35088764
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03110267
—
NY
05
—
1013830070001
—
PA
Enumeration date
04/26/2006
Last updated
05/11/2011
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