Provider Demographics
NPI:1477583797
Name:VAID, BRIJ RAJ (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIJ
Middle Name:RAJ
Last Name:VAID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13065 OLD TESSON FERRY ROAD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128
Mailing Address - Country:US
Mailing Address - Phone:314-543-5222
Mailing Address - Fax:314-543-5277
Practice Address - Street 1:13065 OLD TESSON FERRY ROAD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128
Practice Address - Country:US
Practice Address - Phone:314-543-5222
Practice Address - Fax:314-543-5277
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO101441207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO4398736OtherAETNA
MO182833OtherHEALTHLINK
MO81861OtherGROUP HEALTH PLAN
MO7332OtherHEALTHCARE USA
MO5746972OtherCIGNA
MO110631OtherBCBSMO
MO206880627Medicaid
400452OtherUHC
MOF28384OtherMERCY
MO4398736OtherAETNA
MO110631OtherBCBSMO
MO110222710Medicare PIN