MEDICARE: TRIVEDI FOOT AND ANKLE. PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1124339015	OTHER		NPPES

General Provider Information

NPI Number	:	1184132730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIVEDI FOOT AND ANKLE. PLLC

Provider Business Mailing Address
First Line	:	2205 WILLIAMS TRACE BLVD STE 108
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4443
Country	:	US
Telephone Number	:	713-614-2857
Fax Number	:

Provider Business Practice Location Address
First Line	:	2205 WILLIAMS TRACE BLVD STE 108
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4443
Country	:	US
Telephone Number	:	713-614-2857
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KRUPA J TRIVEDI
Credential	:	DPM
Telephone Number	:	281-529-5481

Provider Enumeration Date	:	01/17/2018
Last Update Date	:	01/20/2023

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