Provider Demographics
NPI:1891922522
Name:TRIVEDI, SINDHURA
Entity Type:Individual
Prefix:
First Name:SINDHURA
Middle Name:
Last Name:TRIVEDI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 E 29TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-2721
Mailing Address - Country:US
Mailing Address - Phone:970-224-3636
Mailing Address - Fax:970-224-3637
Practice Address - Street 1:221 E 29TH ST STE 102
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2721
Practice Address - Country:US
Practice Address - Phone:970-224-3636
Practice Address - Fax:970-224-3637
Is Sole Proprietor?:No
Enumeration Date:2009-06-20
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125:056793207R00000X
CODR.0063237207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine