Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 224525 | NY |
N | 2080P0202X | Pediatric Cardiologist | 35127946 | OH |
N | 2080P0202X | Pediatric Cardiologist | A80794 | CA |
NPI | 1073678835 |
---|---|
Provider Name | Dr. Kalyani R Trivedi |
First Address | Elmira, NY 14901-3230 |
Second Address | Elmira, NY 14905-1627 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2006 |
Last Update Date | 01/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
05503237 | (05) | NY |
103629680 | (05) | PA |