Provider Demographics
NPI:1467749622
Name:VAID, SMRITI (MD)
Entity Type:Individual
Prefix:DR
First Name:SMRITI
Middle Name:
Last Name:VAID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17A TATRO RD STE 201
Mailing Address - Street 2:
Mailing Address - City:GOFFSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03045-2370
Mailing Address - Country:US
Mailing Address - Phone:603-314-4500
Mailing Address - Fax:603-626-7787
Practice Address - Street 1:17A TATRO RD STE 201
Practice Address - Street 2:
Practice Address - City:GOFFSTOWN
Practice Address - State:NH
Practice Address - Zip Code:03045-2370
Practice Address - Country:US
Practice Address - Phone:603-314-4500
Practice Address - Fax:603-626-7787
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.015937207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine