Individual
DR. PARISH SUBHASH VAIDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15775 LAGUNA CANYON RD, SUITE 120, IRVINE, CA 92618-3189
(949) 335-7411
Mailing address
92 CORPORATE PARK, SUITE C-330, IRVINE, CA 92606-5146
(949) 335-7411
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A105629
CA
208100000X
Physical Medicine & Rehabilitation Physician
M6924
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187646801
—
TX
Enumeration date
06/29/2007
Last updated
04/02/2014
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