Provider Demographics
NPI:1972945285
Name:TRIVEDI, HINA (MD)
Entity type:Individual
Prefix:DR
First Name:HINA
Middle Name:
Last Name:TRIVEDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HOLME DRIVE
Mailing Address - Street 2:
Mailing Address - City:LEICESTER
Mailing Address - State:ENGLAND
Mailing Address - Zip Code:44
Mailing Address - Country:GB
Mailing Address - Phone:0116-269-6765
Mailing Address - Fax:
Practice Address - Street 1:16 HOLME DRIVE
Practice Address - Street 2:
Practice Address - City:LEICESTER
Practice Address - State:ENGLAND
Practice Address - Zip Code:44
Practice Address - Country:GB
Practice Address - Phone:0116-269-6765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-28
Last Update Date:2013-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA045996207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA045996OtherLICENCE GEORGIA