Provider Demographics
NPI:1164415469
Name:GARDE, VINAYA ANAND (MD)
Entity Type:Individual
Prefix:DR
First Name:VINAYA
Middle Name:ANAND
Last Name:GARDE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:227 WENTWORTH WAY
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-9545
Mailing Address - Country:US
Mailing Address - Phone:912-223-4358
Mailing Address - Fax:912-435-5555
Practice Address - Street 1:1061 HARMON AVE
Practice Address - Street 2:
Practice Address - City:FT STEWART
Practice Address - State:GA
Practice Address - Zip Code:31314-5604
Practice Address - Country:US
Practice Address - Phone:912-435-5555
Practice Address - Fax:912-435-5050
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01052558A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics