Provider Demographics
NPI:1326593203
Name:VAID, ANIL KISHAN (MD)
Entity Type:Individual
Prefix:
First Name:ANIL
Middle Name:KISHAN
Last Name:VAID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B-3/55, JANAKPURI
Mailing Address - Street 2:NEW-DELHI 110058
Mailing Address - City:NEW-DELHI
Mailing Address - State:DELHI
Mailing Address - Zip Code:110058
Mailing Address - Country:IN
Mailing Address - Phone:987-195-2905
Mailing Address - Fax:
Practice Address - Street 1:B-3/55, JANAKPURI
Practice Address - Street 2:NEW-DELHI 110058
Practice Address - City:NEW-DELHI
Practice Address - State:DELHI
Practice Address - Zip Code:110058
Practice Address - Country:IN
Practice Address - Phone:987-195-2905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-19
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK23475207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine