Provider Demographics
NPI:1881072569
Name:VADHAR, NEIL R (MD)
Entity type:Individual
Prefix:
First Name:NEIL
Middle Name:R
Last Name:VADHAR
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 1:5301 LIMESTONE RD STE 128
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1253
Mailing Address - Country:US
Mailing Address - Phone:302-239-1933
Mailing Address - Fax:
Practice Address - Street 1:5301 LIMESTONE RD STE 128
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-1253
Practice Address - Country:US
Practice Address - Phone:302-239-1933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-13
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD467352207W00000X, 207WX0120X
DEC1-0013791207W00000X, 207WX0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology