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Contact Information

ALZIRA F VAIDYA, MD
400 FAIRVIEW
ST 10
PONCA CITY, OK74601
 Phone: 580-762-7701
 Fax: 580-762-6914
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ALZIRA F VAIDYA · (Female)

NPI Number 1356399927
Status Active
Credentials MD
Entity Individual
Enumeration date 05/05/2006
Last updated 06/03/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 16081
  • KS Medicaid 100187470B
  • OK Medicaid 100185330A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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