Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | 01084827A | IN |
NPI | 1013413020 |
---|---|
Provider Name | Chirag Trivedi |
First Address | Cincinnati, OH 45236-2725 |
Second Address | Cincinnati, OH 45236-2725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2018 |
Last Update Date | 14/12/2020 |