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Individual

DR. SHRIKANT K VAIDYA

Active
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Individual

DR. SHRIKANT K VAIDYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
13842
WV
208800000X
Urology Physician
Primary
35.053340
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001707383
MOUNTAIN STATE BCBS
WV
05
—
0131036000
—
WV
05
—
0544987
—
OH
01
—
CH5937
RAILROAD MEDICARE
WV
Enumeration date
02/21/2007
Last updated
06/14/2017
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