Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 103684 | NC |
Y | 2080P0202X | Pediatric Cardiologist | ME104310 | FL |
NPI | 1144495383 |
---|---|
Provider Name | Dr. Bhavya Trivedi |
First Address | Orlando, FL 32804-4603 |
Second Address | Orlando, FL 32804-4603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2008 |
Last Update Date | 20/09/2012 |