Provider Demographics
NPI:1881384311
Name:TRIVEDI, ABHIJEET YAGNESH (MD)
Entity type:Individual
Prefix:MR
First Name:ABHIJEET
Middle Name:YAGNESH
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 1:2800 HART STREET
Mailing Address - Street 2:MAIER VILLAGE CLUSTER-3, APT-23
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304
Mailing Address - Country:US
Mailing Address - Phone:681-340-8380
Mailing Address - Fax:304-414-1886
Practice Address - Street 1:CAMC WOMEN AND CHILDREN HOSPITAL
Practice Address - Street 2:800 PENNSYLVANIA AVE N.
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25302
Practice Address - Country:US
Practice Address - Phone:304-388-5432
Practice Address - Fax:304-414-1886
Is Sole Proprietor?:No
Enumeration Date:2023-05-09
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WV1559390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program