Individual
MANAN MAHESH TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-0423
(877) 303-1460
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A77269
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A772690
—
CA
Enumeration date
12/08/2006
Last updated
03/15/2012
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