Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 0101045180 | VA |
N | 207RH0003X | Hematology & Oncology | 0101045180 | VA |
NPI | 1043246861 |
---|---|
Provider Name | Dr. Divyang J Trivedi |
First Address | Falls Church, VA 22042-3307 |
Second Address | Falls Church, VA 22042 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 31/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
005832560 | (05) | VA |
020267699 | DEPT OF LABOR (01) | |
0545568 | AETNA (01) | |
06400001 | CAREFIRST BC BS (01) | DC |
070372 | ANTHEM BC BS (01) | VA |
202021905 | CIGNA (01) | |
296965 | AMERIGROUP (01) | |
3600352 | UHC (01) | |
411294 | MAMSI (01) | |
E40117 | (02) |