Individual
DR. VAISHALI THUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2119 E SOUTH BLVD STE 200, MONTGOMERY, AL 36116-2496
(334) 613-7070
(334) 613-7072
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 747-4159
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
36099
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I462284
MEDICARE
AL
05
—
204726
—
AL
01
—
4316622
CIGNA
AL
01
—
512-00176
BCBS OF ALABAMA
AL
01
—
Z52063
VIVA HEALTH
AL
Enumeration date
06/28/2012
Last updated
07/13/2023
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