Organization
BLUE RIDGE NEPHROLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHAIRVI TRIVEDI M.D. (PRESIDENT)
(540) 633-5650
Entity
Organization
Contact information
Practice address
2900 LAMB CIR STE 190, CHRISTIANSBURG, VA 24073-6341
(540) 633-5650
(540) 633-5659
Mailing address
PO BOX 4127, ROANOKE, VA 24015-0127
(540) 981-9394
(540) 344-7154
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101047002
VA
Other
Enumeration date
08/09/2006
Last updated
10/06/2011
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