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Contact Information

SHRIKRISHNA V VAIDYA, MD
400 FAIRVIEW
ST 10
PONCA CITY, OK74601
 Phone: 580-762-7734
 Fax: 580-762-6914
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for SHRIKRISHNA V VAIDYA · (Male)

NPI Number 1295790459
Status Active
Credentials MD
Entity Individual
Enumeration date 04/19/2006
Last updated 06/10/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 16078
  • KS Medicaid 100206890B
  • OK Medicaid 100185320A
  • KS Other 010998 PTAN
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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