Individual
RAHUL VAIDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201
(313) 745-3000
Mailing address
311 MACK AVE FL 5, DETROIT, MI 48201-2466
(313) 832-0500
(313) 745-4298
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301076989
MI
207XS0117X
Orthopaedic Surgery of the Spine Physician
4301076989
MI
207XX0801X
Orthopaedic Trauma Physician
4301076989
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301076989
LICENSE
MI
Enumeration date
07/10/2006
Last updated
03/07/2023
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