Individual
KEDARNATH A VAIDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17350 ST LUKES WAY, SUITE 400, THE WOODLANDS, TX 77384-4167
(281) 444-3278
(832) 249-3861
Mailing address
17350 ST LUKES WAY STE 400, THE WOODLANDS, TX 77384-4167
(281) 444-3278
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M3100
TX
207RI0011X
Interventional Cardiology Physician
M3100
TX
207U00000X
Nuclear Medicine Physician
M3100
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00J21A
GROUP MEDICARE
TX
05
—
197962701
—
TX
Enumeration date
06/09/2005
Last updated
04/21/2025
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