Provider Demographics
NPI:1154583474
Name:VAID, ANUJ (MD)
Entity type:Individual
Prefix:DR
First Name:ANUJ
Middle Name:
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 1:1813 S CLARK ST
Mailing Address - Street 2:UNIT 41
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-1658
Mailing Address - Country:US
Mailing Address - Phone:630-400-5064
Mailing Address - Fax:
Practice Address - Street 1:1813 S CLARK ST
Practice Address - Street 2:UNIT 41
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-1658
Practice Address - Country:US
Practice Address - Phone:630-400-5064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036121258207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine