Provider Demographics
NPI:1780840553
Name:VAID, URVASHI (MD)
Entity Type:Individual
Prefix:
First Name:URVASHI
Middle Name:
Last Name:VAID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:834 WALNUT ST STE 650
Mailing Address - Street 2:STE 650
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5109
Mailing Address - Country:US
Mailing Address - Phone:215-955-5161
Mailing Address - Fax:215-923-6003
Practice Address - Street 1:834 WALNUT ST STE 650
Practice Address - Street 2:STE 650
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5109
Practice Address - Country:US
Practice Address - Phone:215-955-5161
Practice Address - Fax:215-923-6003
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT189743207RC0200X, 207RP1001X
PAMD438562207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102633409Medicaid
NJ0267538Medicaid
NJ0267538Medicaid