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Individual

DR. ABHAY MAKARAND VAIDYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G86471
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G86471
LICENSE
CA
01
P00957559
MEDICARE RAILROAD
CA
Enumeration date
08/01/2006
Last updated
11/07/2011
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