Individual
SEAN M TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11700 N MERIDIAN ST, EMERGENCY DEPARTMENT, CARMEL, IN 46032-4656
(317) 688-3139
(317) 688-2664
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01054520
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200425670
—
IN
Enumeration date
06/05/2006
Last updated
02/25/2014
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