Individual
DR. JAGDISH M TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
817 MAIN STREET, NIAGRA FALLS, NY 14301
(716) 284-2222
Mailing address
817 MAIN STREET, NIAGRA FALLS, NY 14301
(716) 284-2222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
126770
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010180101
UNIVERA
NY
05
—
00456859
—
NY
01
—
00506959001
BLUE CROSS BLUE SHIELD
NY
Enumeration date
10/27/2006
Last updated
07/08/2007
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