Healthcare Provider Details

I. General information

NPI: 1376897090
Provider Name (Legal Business Name): TRINITY MEDICAL ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2012
Last Update Date: 11/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 FOULK RD SUITE 200B
WILMINGTON DE
19803-3820
US

IV. Provider business mailing address

1601 MILLTOWN RD SUITE 2
WILMINGTON DE
19808-4027
US

V. Phone/Fax

Practice location:
  • Phone: 302-762-6675
  • Fax:
Mailing address:
  • Phone: 302-352-0517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: VINOD KRIPALU
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 302-352-0517