Individual
RAKHEE RAJAN VAIDYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-5440
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53666
MN
207RH0003X
Hematology & Oncology Physician
Primary
2014-01855
NC
207RH0003X
Hematology & Oncology Physician
53666
MN
207RT0003X
Transplant Hepatology Physician
2014-01855
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01021861
MCR RAILROAD MEDICARE
MN
Enumeration date
09/08/2009
Last updated
06/23/2021
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