Organization · NPI-2
A F Vaidya MD PC
Psychiatry & Neurology, Child & Adolescent Psychiatry · Ponca City, OK
NPI number1508030040
StatusActive
Last updated in NPPESJun 3, 2008
Details
- NPI
- 1508030040
- Entity type
- Organization (NPI-2)
- Legal business name
- A F Vaidya MD PC
- Organization subpart
- No
- Enumeration date
- Apr 16, 2008
- Last updated
- Jun 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | 16081 | OK | Yes |
Practice location
400 Fairview AveSuite 10
Ponca City, OK 74601-1920
Phone 580-762-7701 · Fax 580-762-6914
Mailing address
400 Fairview AveSuite 10
Ponca City, OK 74601-1920
Phone 580-762-7701 · Fax 580-762-6914
Authorized official
A F Vaidya
Owner
5807627701
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