# A F VAIDYA MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508030040
- **Authorized official:** DR. A F VAIDYA MD (OWNER)
- **Authorized official phone:** (580) 762-7701

## Contact information

- **Practice address:** 400 FAIRVIEW AVE, SUITE 10, PONCA CITY, OK 74601-1920
- **Practice address phone:** (580) 762-7701
- **Practice address fax:** (580) 762-6914
- **Mailing address:** 400 FAIRVIEW AVE, SUITE 10, PONCA CITY, OK 74601-1920
- **Mailing address phone:** (580) 762-7701
- **Mailing address fax:** (580) 762-6914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 16081 | OK | Yes |

## Other

- **Enumeration date:** 04/16/2008
- **Last updated:** 06/03/2008