Provider Demographics
NPI:1073252698
Name:TRIVEDI, SIDDHARTH JAGDISH (BSC, BMEDSCI, MBBS,)
Entity Type:Individual
Prefix:DR
First Name:SIDDHARTH
Middle Name:JAGDISH
Last Name:TRIVEDI
Suffix:
Gender:M
Credentials:BSC, BMEDSCI, MBBS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NONINVASIVE CARDIOVASCULAR IMAGING PROGRAM, DEPARTMEN
Mailing Address - Street 2:75 FRANCIS STREET (BRIGHAM AND WOMEN'S HOSPITAL)
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-732-6273
Mailing Address - Fax:
Practice Address - Street 1:BRIGHAM AND WOMEN'S HOSPITAL
Practice Address - Street 2:75 FRANCIS STREET
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-6273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-01
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program