# VIDULA T VACHHARAJANI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952323040
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | 2006-00910 | NC | Yes |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 09/16/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1422Y | BCBS | — |
| 01 | — | 190420 | MEDCOST | — |
| 01 | — | 2062996 | MEDICARE | NC |
| 05 | — | 3810008365 | — | WV |
| 05 | — | 5906316 | — | NC |
| 01 | — | 7656568 | AETNA | — |
| 01 | — | 808022 | PARTNERS | — |
| 01 | — | P00387756 | RR MEDICARE | — |