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Individual

SHASHANK TRIVEDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-5067
(585) 922-2908
Mailing address
1425 PORTLAND AVE # 287, ROCHESTER, NY 14621-3011
(585) 922-5067
(585) 922-2908

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
305351
NY
208M00000X
Hospitalist Physician
Primary
305351
NY

Other

Enumeration date
07/19/2017
Last updated
05/21/2021
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