Organization
AMITA D TRIVEDI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMITA D TRIVEDI MD (MD OWNER PROVIDER)
(520) 623-2642
Entity
Organization
Contact information
Practice address
1702 W ANKLAM RD, 111, TUCSON, AZ 85745-2606
(520) 623-2642
(520) 623-6162
Mailing address
1702 W ANKLAM RD, # 111, TUCSON, AZ 85745-2606
(520) 623-2642
(520) 623-6162
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
12415
AZ
Other
Enumeration date
10/04/2006
Last updated
06/21/2018
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