Individual
AJITKUMAR TAMPI TRIVIKRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
151 BUFFALO AVE, SUITE 211, NIAGARA FALLS, NY 14303-1243
(716) 282-0400
(716) 284-8085
Mailing address
151 BUFFALO AVE, SUITE 211, NIAGARA FALLS, NY 14303-1243
(716) 282-0400
(716) 284-8085
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
118628
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010180201
UNIVERA
NY
05
—
00603085
—
NY
01
—
3100688
INDEPENDANT HEALTH
NY
01
—
5066883
BLUE CROSS BLUE SHIELD
NY
Enumeration date
06/12/2006
Last updated
01/14/2008
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