Organization · NPI-2

S V Vaidya MD PC

Psychiatry & Neurology, Neurology · Ponca City, OK

NPI number1891969325
StatusActive
Last updated in NPPESJun 10, 2008

Details

NPI
1891969325
Entity type
Organization (NPI-2)
Legal business name
S V Vaidya MD PC
Organization subpart
No
Enumeration date
Apr 16, 2008
Last updated
Jun 10, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology16078OKYes

Practice location

400 Fairview Ave
Suite 10
Ponca City, OK 74601-1920

Phone 580-762-7734 · Fax 580-762-6914

Mailing address

400 Fairview Ave
Suite 10
Ponca City, OK 74601-1920

Phone 580-762-7734 · Fax 580-762-6914

Authorized official

S V Vaidya
Owner
5807627734

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