Individual
DR. JAGDISH M TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACS
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
Update your record
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