Individual
PRABHAKAR NARHARI VAIDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 PROFESSIONAL PARK, ERWIN, NC 28339-9106
(910) 230-7930
(910) 230-7949
Mailing address
PO BOX 14006, RALEIGH, NC 27620-4006
(919) 231-3966
(919) 231-3912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20214
NC
207RN0300X
Nephrology Physician
20214
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390001311
PALMETTO GBA
NC
01
—
84620
BLUE CROSS BLUE SHIELD
NC
05
—
8984620
—
NC
Enumeration date
06/16/2006
Last updated
04/17/2026
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