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Contact Information

A F VAIDYA MD PC
400 FAIRVIEW AVE
SUITE 10
PONCA CITY, OK74601-1920
 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 A F VAIDYA MD PC · (Female)

NPI Number 1508030040
Status Active
Credentials
Entity Individual
Enumeration date 04/16/2008
Last updated 06/03/2008 - About 18 years ago
Sole proprietor 1 Not specified
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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