Healthcare Provider Details

I. General information

NPI: 1467617803
Provider Name (Legal Business Name): ARJUN VAID M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2008
Last Update Date: 09/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1838 GREENE TREE RD SUITE 400
BALTIMORE MD
21208-6391
US

IV. Provider business mailing address

1838 GREENE TREE RD SUITE 400
BALTIMORE MD
21208-6391
US

V. Phone/Fax

Practice location:
  • Phone: 410-602-9343
  • Fax: 410-602-2438
Mailing address:
  • Phone: 410-602-9343
  • Fax: 410-602-2438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberD0078976
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: