Individual
NISHA GUPTA TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY STREET, DAVOL 129, PROVIDENCE, RI 02903-4923
(401) 444-5142
(401) 444-5083
Mailing address
245 CHAPMAN STREET, SUITE 105, PROVIDENCE, RI 02905-4507
(401) 490-0916
(401) 490-0979
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
225411
MA
207L00000X
Anesthesiology Physician
Primary
MD12338
RI
Other
Enumeration date
06/02/2006
Last updated
12/03/2012
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