Provider Demographics
NPI:1356422943
Name:TRIVEDI, KEYUR C (MD)
Entity type:Individual
Prefix:
First Name:KEYUR
Middle Name:C
Last Name:TRIVEDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST
Mailing Address - Street 2:STE SW200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1155
Mailing Address - Country:US
Mailing Address - Phone:856-968-7433
Mailing Address - Fax:
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:COOPER ANESTHESIA ASSOCIATES
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA07966500207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ001007586OtherAMERICHOICE
NJ2632907OtherUNITED HEALTHCARE
NJ1817916OtherAMERIHEALTH PPO/PA BS
NJ41101OtherUNIVERSITY HEALTH PLAN
NJ60021885OtherHORIZON NJ HEALTH
NJ1166716OtherAETNA
NJ26664655000OtherAMERIHEALTH/KEYSTONE/IBC
NJ0088927Medicaid
NJP3722606OtherOXFORD
NJ1840369OtherCIGNA
NJ1166715OtherAETNA
NJ1166715OtherAETNA
NJ41101OtherUNIVERSITY HEALTH PLAN
NJ1166716OtherAETNA