Provider Demographics
NPI:1699039172
Name:THUDI, VAISHALI (MD)
Entity Type:Individual
Prefix:DR
First Name:VAISHALI
Middle Name:
Last Name:THUDI
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 1:301 BROWN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-7005
Mailing Address - Country:US
Mailing Address - Phone:334-747-4159
Mailing Address - Fax:
Practice Address - Street 1:2119 E SOUTH BLVD STE 200
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-2496
Practice Address - Country:US
Practice Address - Phone:334-613-7070
Practice Address - Fax:334-613-7072
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL36099207RE0101X
ALMD.36099207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL102I462284OtherMEDICARE
AL204726Medicaid
AL4316622OtherCIGNA
ALZ52063OtherVIVA HEALTH
AL512-00176OtherBCBS OF ALABAMA