Trivedi, Jitendra

Trivedi, Jitendra is an individual health care provider with primary practice located at 4218 Lincolnshire Dr , Mount Vernon IL 62864-2156. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Trivedi, Jitendra can be contacted via phone (618) 899-3600.

Contact Information

Primary practice address
4218 Lincolnshire Dr Mount Vernon IL 62864-2156
Phone: (618) 899-3600
Fax: (618) 241-4810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036057566 Illinois
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036057566 Illinois

Profile Details

NPI number 1679687933
LBN Legal business name Trivedi, Jitendra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Oct 11th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679687933 NPPES
Illinois MEDICAID 036057566

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