| A F Vaidya Md Pc | |
|
400 Fairview Ave Suite 10 Ponca City OK 74601-1920 | |
| (580) 762-7701 | |
| (580) 762-6914 |
| Full Name | A F Vaidya Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 400 Fairview Ave, Ponca City, Oklahoma |
| Authorized Official Name and Position | A F Vaidya (OWNER) |
| Authorized Official Contact | 5807627701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A F Vaidya Md Pc 400 Fairview Ave Suite 10 Ponca City OK 74601-1920 Ph: (580) 762-7701 | A F Vaidya Md Pc 400 Fairview Ave Suite 10 Ponca City OK 74601-1920 Ph: (580) 762-7701 |
| NPI Number | 1508030040 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 06/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508030040 | NPI | - | NPPES |
| 100185330A | Medicaid | OK | |
| 100187470B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 16081 (Oklahoma) | Primary |
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