Trivedi, Nimisha J
Trivedi, Nimisha J is an sole proprietor health care provider with primary practice located at 3778 Highway 42 , Locust Grove GA 30248. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Trivedi, Nimisha J can be contacted via phone (678) 610-6649.Contact Information
Primary practice address
3778 Highway 42
Locust Grove GA 30248
Phone: (678) 610-6649
Fax: (678) 610-6025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 053715 | Georgia |
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | 053715 | Georgia |
Profile Details
| NPI number | 1629074299 |
|---|---|
| LBN Legal business name | Trivedi, Nimisha J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Sep 15th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629074299 | NPPES |
| Georgia | MEDICAID | 117518856A |
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