Individual
SHRIPRAKASH NANDSHANKAR TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22505 LANDMARK CT STE 210, ASHBURN, VA 20148-6500
(571) 612-6600
(571) 612-6601
Mailing address
22505 LANDMARK CT STE 210, ASHBURN, VA 20148-6500
(571) 612-6600
(571) 612-6601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101238017
VA
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
0101238017
VA
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
232770
NY
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
25MA07786000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2606164
—
NY
Enumeration date
11/08/2006
Last updated
12/23/2021
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