National Provider Identifier

Ajitkumar Tampi Trivikram, MD

Ajitkumar Tampi Trivikram, MD is listed in the NPPES registry with a primary specialty of Surgery Physician in Niagara Falls, NY and a listed phone number of (716) 282-0400.

NPI 1528000882Niagara Falls, NYSurgery Physician

Profile Overview

NPI
1528000882
Provider Type
Individual
Primary Specialty
Surgery Physician
Enumeration Date
June 12, 2006
Last Updated
January 14, 2008

Practice Location

  • 151 Buffalo Ave
  • Suite 211
  • Niagara Falls, NY 14303-1243

Phone: (716) 282-0400

Specialties

  • Surgery Physician (208600000X)
Full Record
NPI
1528000882
Entity Type
Individual
Last Name
Trivikram
First Name
Ajitkumar
Middle Name
Tampi
Credential
MD
Provider Other Last Name
Trivikram
Provider Other First Name
Ajit
Provider Other Credential Text
MD
Provider Other Last Name Type Code
2
Mailing Street Address
151 Buffalo Ave
Mailing Address Line 2
Suite 211
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14303-1243
Mailing Country
US
Mailing Phone
(716) 282-0400
Mailing Fax
(716) 284-8085
Practice Street Address
151 Buffalo Ave
Practice Address Line 2
Suite 211
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14303-1243
Practice Country
US
Practice Phone
(716) 282-0400
Practice Fax
(716) 284-8085
Enumeration Date
June 12, 2006
Last Updated
January 14, 2008
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgery Physician (208600000X)
Other Identifiers
00010180201 (NY, Univera), 5066883 (NY, Blue Cross Blue Shield), 3100688 (NY, Independant Health), 00603085 (NY)