Individual
DR. DISHA TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 E HIBISCUS BLVD, MELBOURNE, FL 32901-3102
(321) 768-3655
(321) 831-3024
Mailing address
111 E HIBISCUS BLVD, MELBOURNE, FL 32901-3102
(321) 768-3655
(321) 831-3024
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME117749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105543800
—
FL
Enumeration date
03/12/2009
Last updated
11/22/2022
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