Provider Demographics
NPI:1386149276
Name:TRIVEDI, APOORVA (MD)
Entity type:Individual
Prefix:
First Name:APOORVA
Middle Name:
Last Name:TRIVEDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:199 PARK CLUB LN
Mailing Address - Street 2:STE 500
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5269
Mailing Address - Country:US
Mailing Address - Phone:716-845-1300
Mailing Address - Fax:845-896-7758
Practice Address - Street 1:6420 TRANSIT RD
Practice Address - Street 2:STE A
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-1033
Practice Address - Country:US
Practice Address - Phone:716-845-1600
Practice Address - Fax:716-242-0201
Is Sole Proprietor?:No
Enumeration Date:2018-03-24
Last Update Date:2025-08-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY328435207N00000X, 207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07899232Medicaid