MEDICARE: PINKY SUBHASH 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
1	207RR0500X	Rheumatology Physician	MD15487	RI
2	207RR0500X	Rheumatology Physician	40833	SC

General Provider Information

NPI Number	:	1639467152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PINKY SUBHASH VAIDYA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3239
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29502-3239
Country	:	US
Telephone Number	:	843-777-7120
Fax Number	:	843-777-7102

Provider Business Practice Location Address
First Line	:	3980 HIGHWAY 9 E STE 340
Second Line	:
City	:	LITTLE RIVER
State	:	SC
Zip	:	29566-8165
Country	:	US
Telephone Number	:	843-366-3040
Fax Number	:	843-366-3041

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2011
Last Update Date	:	02/22/2021

Similar Medicare Providers

1063399434 — MOHAMMED RAYYAN FNP-BC
Practice Location Address:

3980 HIGHWAY 9 E STE 320
LITTLE RIVER, SC
29566-8165

Practice Phone: 843-366-3715
Practice Fax:

1518844984 — MISS STACY ROJAS FNP-BC
Practice Location Address:

3980 HIGHWAY 9 E STE 300
LITTLE RIVER, SC
29566-8165

Practice Phone: 843-646-8040
Practice Fax:

1720092166 — DR. KIMBERLY ANNE MONNELL DO
Practice Location Address:

3980 HWY. 9 EAST , STE 340
LITTLE RIVER, SC
29566-8165

Practice Phone: 843-390-8310
Practice Fax: 843-390-8319

1801970207 — MORRIS J WASHINGTON III M.D.
Practice Location Address:

3980 HIGHWAY 9 E STE 320
LITTLE RIVER, SC
29566-8165

Practice Phone: 843-366-3715
Practice Fax: 843-366-3716

1427377076 — SARAH JANE NOVIS M.D.
Practice Location Address:

3980 HIGHWAY 9 E STE 340
LITTLE RIVER, SC
29566-8165

Practice Phone: 843-366-3040
Practice Fax: 843-366-3041

1942598560 — DR. DONNY VU HUYNH M.D.
Practice Location Address:

3980 HIGHWAY 9 E STE 300
LITTLE RIVER, SC
29566-8165

Practice Phone: 843-366-3891
Practice Fax: 843-366-3892

Directions to “ PINKY SUBHASH VAIDYA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.