Individual
AMI S VAIDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
176 WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526-8965
(843) 234-6888
(843) 234-6889
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PNS CREDENTIALING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
88826
SC
207RP1001X
Pulmonary Disease Physician
88826
SC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
88826
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888267
—
SC
Enumeration date
06/02/2011
Last updated
08/18/2025
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