Individual
MR. KANHAIYALAL TAPISHANKAR TRIVEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7547 MEDICAL DR # 1300, GLOUCESTER, VA 23061-4351
(804) 695-8550
(804) 695-8551
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5900
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101248547
VA
2084N0400X
Neurology Physician
050847
GA
2084N0400X
Neurology Physician
27742
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123251
—
AL
Enumeration date
03/31/2006
Last updated
07/21/2022
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