Individual
SURAJ TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
A122196
CA
Other
Enumeration date
09/13/2011
Last updated
12/02/2019
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