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Individual

MALAYKUMAR TRIVEDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
407 E MARKET ST, CRAWFORDSVILLE, IN 47933-1852
(765) 364-9720
(765) 364-9740
Mailing address
407 E MARKET ST, CRAWFORDSVILLE, IN 47933-1852
(765) 362-4424
(765) 364-4423

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01032281A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000093743
ANTHEM ID#
IN
05
100114830A
IN
Enumeration date
11/13/2006
Last updated
12/27/2012
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