Provider Demographics
NPI:1720235971
Name:VAIDYA, NEEL KUMARPAL (MD)
Entity Type:Individual
Prefix:DR
First Name:NEEL
Middle Name:KUMARPAL
Last Name:VAIDYA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:CMR 402 BOX 1234
Mailing Address - Street 2:LANDSTUHL REGIONAL MEDICAL CENTER
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09180
Mailing Address - Country:US
Mailing Address - Phone:49637-186-8155
Mailing Address - Fax:
Practice Address - Street 1:CMR 402 BOX 1234
Practice Address - Street 2:LANDSTUHL REGIONAL MEDICAL CENTER
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09180
Practice Address - Country:US
Practice Address - Phone:49637-186-8155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01012386562085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology