Provider Demographics
NPI:1942004296
Name:TRIVEDI, PRACHI DILIPKUMAR (MBBS)
Entity type:Individual
Prefix:
First Name:PRACHI
Middle Name:DILIPKUMAR
Last Name:TRIVEDI
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:ST BARNABAS HOSPITAL
Mailing Address - Street 2:4422 THIRD AVENUE, MILLS BUILDING, 4RTH FLOOR, ROOM 406
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-2594
Mailing Address - Country:US
Mailing Address - Phone:718-960-6635
Mailing Address - Fax:718-960-9418
Practice Address - Street 1:ST BARNABAS HOSPITAL
Practice Address - Street 2:4422 THIRD AVENUE, MILLS BUILDING, 4RTH FLOOR, ROOM 406
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-2594
Practice Address - Country:US
Practice Address - Phone:718-960-6635
Practice Address - Fax:718-960-9418
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program