Provider Demographics
NPI:1447827506
Name:TRIVEDI, JAAHNAVEE JOY (MD)
Entity type:Individual
Prefix:
First Name:JAAHNAVEE
Middle Name:JOY
Last Name:TRIVEDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 CLARKSON AVE SUITE J
Mailing Address - Street 2:ATTN: NATALIE ARRINDELL, GME OFFICE 2ND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203
Mailing Address - Country:US
Mailing Address - Phone:718-270-4220
Mailing Address - Fax:718-270-2408
Practice Address - Street 1:450 CLARKSON AVE SUITE J
Practice Address - Street 2:ATTN: NATALIE ARRINDELL, GME OFFICE 2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-270-4220
Practice Address - Fax:718-270-2408
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2022-12-15
Deactivation Date:2022-12-01
Deactivation Code:
Reactivation Date:2022-12-14
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program