Individual
DR. RAJENDRA S TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 RISON ST, SUITE 120, DANVILLE, VA 24541-2458
(434) 792-3730
(434) 792-6048
Mailing address
PO BOX 10399, DANVILLE, VA 24543-5007
(434) 792-3730
(434) 792-6048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101053147
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005619505
—
VA
01
—
080163816
PALMETTO GBA MC
VA
01
—
258015
ANTHEM BCBS
VA
05
—
89063VU
—
NC
Enumeration date
06/12/2006
Last updated
12/12/2014
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