Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 01077009A | IN |
NPI | 1043451727 |
---|---|
Provider Name | Bhargav Arvindbabu Trivedi |
First Address | Evansville, IN 47733-3407 |
Second Address | Evansville, IN 47710-1674 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2009 |
Last Update Date | 28/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036124003 | (05) | IL |
201367960 | (05) | IN |