Healthcare Provider Details

I. General information

NPI: 1871771857
Provider Name (Legal Business Name): APURVA NAVIN TRIVEDI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2008
Last Update Date: 04/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1712 FM 1431 UNIT B
MARBLE FALLS TX
78654-4954
US

IV. Provider business mailing address

1712 FM 1431 UNIT B
MARBLE FALLS TX
78654-4954
US

V. Phone/Fax

Practice location:
  • Phone: 512-593-6022
  • Fax: 512-717-7270
Mailing address:
  • Phone: 512-593-6022
  • Fax: 512-717-7270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberP2800
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: