Individual
KUMUDINI M VAIDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2222 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-8111
(405) 574-7765
Mailing address
PO BOX 1069, CHICKASHA, OK 73023-1069
(405) 224-8111
(405) 574-7765
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
12249
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005110A
—
OK
Enumeration date
11/30/2005
Last updated
11/12/2009
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