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Individual

AMITA D TRIVEDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
395 N SILVERBELL RD, SUITE 209, TUCSON, AZ 85745-2675
(520) 623-2642
(520) 623-6162
Mailing address
2149 E WARNER RD, SUITE 101, TEMPE, AZ 85284-3494
(480) 610-6100

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
12415
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203018
AZ
Enumeration date
09/27/2005
Last updated
06/19/2012
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