CHARU L TRIVEDI (NPI# 1386641397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386641397 |
| Entity Type | Individual |
| Full Name | CHARU L TRIVEDI |
| Credential | MD |
| Practice Address |
800 Stewart Rd Suite B Monroe MI 48162-4226 |
| Mailing Address |
4235 Secor Rd Toledo OH 43623-4231 |
| Practice Telephone | 7342427902 |
| Mailing Telephone | 7342427902 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
35078923T | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 900003594 | 01 | |
| OH | 2224239 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1325 Conference Dr, Toledo, OH 436148009 | 4193834541 | 4193833041 |
| Street Address |
800 STEWART RD SUITE B |
| City | MONROE |
| State | MI |
| Zip Code | 48162-4226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376997551 | Mercy Memorial Hospital Corporation | Specialist | 800 Stewart Rd, Monroe, MI 48162-4226 | 2016-04-14 |
| 1760774681 | Monroe Cancer Center | Specialist | 800 Stewart Rd, Monroe, MI 48162-4226 | 2011-05-11 |
| 1356493118 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Rd, Suite B, Monroe, MI 48162-4226 | 2007-01-18 |
| 1417049818 | Roger T Kucway | Radiology | 800 Stewart Rd, Monroe, MI 48162-4226 | 2006-09-29 |
| 1669423455 | Toledo Clinic Incorporated | Internal Medicine | 800 Stewart Rd, Suite B, Monroe, MI 48162-4226 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700110632 | Marshall L Leary Jr Apmc | Internal Medicine | 1162 Oliver Road, Suite 7, Monroe, LA 71201 | 2009-09-24 |
| 1619927316 | Piedmont Oncology Specialists | Internal Medicine | 1650 Faulk St, Suite A, Monroe, NC 28112-5263 | 2006-05-11 |
| 1316942535 | Donna Ann Walker | Internal Medicine | 3116 Kilpatrick Blvd, Monroe, LA 71201-5156 | 2005-06-15 |
| 1093126310 | Zachary Farmer | Internal Medicine | 1550 Faulk St, Ste 1100, Monroe, NC 28112-5086 | 2014-05-09 |
| 1235486606 | Louisiana Oncology, LLC | Internal Medicine | 3116 Kilpatrick Blvd, Monroe, LA 71201-5156 | 2012-08-04 |
| 1306175476 | Mecklenburg Medical Group | Internal Medicine | 1550 Faulk St, Suite 1500, Monroe, NC 28112-5086 | 2009-12-18 |
| 1275867145 | Benjamin B Weinberger Apmc | Internal Medicine | 1162 Oliver Road, Suite 7, Monroe, LA 71201 | 2009-09-25 |
| 1548594419 | Coy W Gammage Jr Apmc | Internal Medicine | 1162 Oliver Road, Suite 7, Monroe, LA 71201 | 2009-09-25 |
| 1366776239 | Scott M Barron Apmc | Internal Medicine | 1162 Oliver Road, Suite 7, Monroe, LA 71201 | 2009-09-25 |
| 1174706394 | Carolinas Physicians Network Inc | Internal Medicine | 1650 Faulk St, Suite A, Monroe, NC 28112-5263 | 2007-12-11 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.