Individual
VINAY U VAIDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-2526
(602) 933-2527
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
41511
AZ
2080P0203X
Pediatric Critical Care Medicine Physician
D47052
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423713
—
AZ
05
—
712200400
—
MD
Enumeration date
06/20/2006
Last updated
02/08/2018
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