Individual
DR. SHRIKANT K VAIDYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2520 VALLEY DR, SUITE 016, POINT PLEASANT, WV 25550-2031
(304) 675-6060
(304) 675-5001
Mailing address
PO BOX 449, MARIETTA, OH 45750
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
13842
WV
208800000X
Urology Physician
Primary
35.053340
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001707383
MOUNTAIN STATE BCBS
WV
05
—
0131036000
—
WV
05
—
0544987
—
OH
01
—
CH5937
RAILROAD MEDICARE
WV
Enumeration date
02/21/2007
Last updated
06/14/2017
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