Individual
DR. SANDEEP VAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 PHILIP BLVD STE 140, LAWRENCEVILLE, GA 30046-8768
(770) 962-3642
(770) 962-3643
Mailing address
455 PHILIP BLVD STE 140, LAWRENCEVILLE, GA 30046-8768
(770) 962-3642
(770) 962-3643
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
66095
GA
2084N0400X
Neurology Physician
Primary
66095
GA
208VP0000X
Pain Medicine Physician
66095
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003120614A
—
GA
05
—
003120614B
—
GA
05
—
003120614C
—
GA
05
—
003120614D
—
GA
Enumeration date
05/18/2011
Last updated
10/30/2025
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