Individual
DR. PRAKASH VAIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
379 WALMART DR, CAMDEN, DE 19934-1365
(302) 387-4343
(302) 538-6790
Mailing address
PO BOX 1040, ELKTON, MD 21922-1040
(410) 398-0590
(443) 681-7671
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C1-0012808
DE
208600000X
Surgery Physician
D0051953
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424400100
—
MD
Enumeration date
12/05/2005
Last updated
03/30/2021
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