Individual
MITESH TRIVEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 CEDAR ST # TE-2, NEW HAVEN, CT 06510-3206
(203) 785-5253
Mailing address
101 N PLAINS INDUSTRIAL RD, WALLINGFORD, CT 06492-2360
(203) 949-2700
(203) 949-2712
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
050778
CT
2085R0202X
Diagnostic Radiology Physician
C1-0009080
DE
2085R0202X
Diagnostic Radiology Physician
C7-0004007
DE
390200000X
Student in an Organized Health Care Education/Training Program
MT191109
PA
Other
Enumeration date
07/17/2007
Last updated
02/01/2022
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