# VAIDYA UROLOGY CLINIC INC

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

## Provider details

- **NPI number:** 1669653796
- **Authorized official:** MS. BRENDA G LONG (OFFICE MANAGER)
- **Authorized official phone:** (304) 675-6060

## Contact information

- **Practice address:** 2520 VALLEY DRIVE, SUITE 016, POINT PLEASANT, WV 25550
- **Practice address phone:** (304) 675-6060
- **Practice address fax:** (304) 675-5001
- **Mailing address:** 2520 VALLEY DRIVE, SUITE 016, POINT PLEASANT, WV 25550
- **Mailing address phone:** (304) 675-6060
- **Mailing address fax:** (304) 675-5001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 13842 | WV | Yes |

## Other

- **Enumeration date:** 11/16/2007
- **Last updated:** 06/27/2008