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NPI Code Detail

MEDICARE: RASHMI PRADHAN VAIDYA M.D

MEDICARE: RASHMI PRADHAN VAIDYA M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician51785AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508046905
Entity Type Code : Individual
Provider Name (Legal Business Name) : RASHMI PRADHAN VAIDYA M.D
Provider Business Mailing Address
First Line : PO BOX 6423
Second Line :
City : CHANDLER
State : AZ
Zip : 85246-6423
Country : US
Telephone Number : 480-855-2224
Fax Number : 480-398-8080
Provider Business Practice Location Address
First Line : 5810 W BEVERLY LN
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-1800
Country : US
Telephone Number : 623-312-3000
Fax Number : 623-312-3060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2007
Last Update Date : 04/04/2016

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