Provider Demographics
NPI:1609977057
Name:VAID, PERMINDER DUTT (MD)
Entity Type:Individual
Prefix:DR
First Name:PERMINDER
Middle Name:DUTT
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 1:6524 W INDIAN SCHOOL RD
Mailing Address - Street 2:#C
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85033-3329
Mailing Address - Country:US
Mailing Address - Phone:623-247-7409
Mailing Address - Fax:
Practice Address - Street 1:6524 W INDIAN SCHOOL RD
Practice Address - Street 2:SUITE # C
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85033
Practice Address - Country:US
Practice Address - Phone:623-247-7409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28603208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics