Individual
SHIVANI H VAIDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-2113
(336) 716-2261
(336) 716-9810
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2261
(336) 716-9810
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2024-01522
NC
2084N0400X
Neurology Physician
Primary
25MB12770300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
2024-01522
NC
Other
Enumeration date
03/29/2020
Last updated
08/26/2025
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