Individual provider · NPI-1
Shrikrishna V Vaidya, MD
Psychiatry & Neurology, Neurology · Ponca City, OK
NPI number1295790459
StatusActive
Last updated in NPPESSep 29, 2026
Details
- NPI
- 1295790459
- Entity type
- Individual (NPI-1)
- Name
- Mr. Shrikrishna V Vaidya
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2006
- Last updated
- Sep 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 16078 | OK | Yes |
Practice location
400 FairviewSt 10
Ponca City, OK 74601
Phone 580-762-7734 · Fax 580-762-6914
Mailing address
400 Fairview St 10Ponca City, OK 74601
Phone 580-762-7734 · Fax 580-762-6914
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