Individual
VAIBHAV KANAWADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 S BRYAN RD STE 205, MISSION, TX 78572-6659
(210) 709-4110
Mailing address
2417 COLORADO ST APT 3202, MISSION, TX 78572-3944
(210) 702-7862
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
T2407
TX
Other
Enumeration date
08/16/2018
Last updated
10/22/2021
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