A F VAIDYA MD PC; NPI #1508030040

Contact Information

A F VAIDYA MD PC

400 FAIRVIEW AVE
SUITE 10
PONCA CITY, OK 74601-1920

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

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NPI Profile & details for A F VAIDYA MD PC

NPI Number 1508030040

LBN Legal business name A F VAIDYA MD PC

Authorized official A VAIDYA - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/16/2008

Last updated 06/03/2008 - About 18 years ago

Identifiers

OK	License #	16081
KS	Medicaid	100187470B
OK	Medicaid	100185330A

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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A F VAIDYA MD PC

Contact Information

Specialty

Child & Adolescent Psychiatry

NPI Profile & details for A F VAIDYA MD PC

Reviews for A F VAIDYA MD PC