Dr. Rakeshchandra Shantilal Vaidya, M.D.
Internal Medicine in Indianapolis, IN. Individual provider (NPI-1).
NPI number1104875129
StatusActive
Last updated in NPPESAug 22, 2015
Details
- NPI
- 1104875129
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rakeshchandra Shantilal Vaidya
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 8, 2006
- Last updated
- Aug 22, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 01049181 | IN | Yes |
Other names
- Rakesh Vaidya (Other Name)
Practice location
1481 W 10th StIndianapolis, IN 46202-2803
Phone 317-554-0000 · Fax 317-554-0093
Mailing address
8137 Riesling DrKernersville, NC 27284-6715
Phone 336-790-8884
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