Individual
RAKHEE NITEEN VAIDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Mailing address
398 AVENIDA ARBOLES, SAN JOSE, CA 95123-1407
(408) 507-2144
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
024355
NY
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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