Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 233518 | MA |
N | 111NI0900X | Internist | 233518 | MA |
Y | 207RN0300X | Nephrologist | A111164 | CA |
NPI | 1073654570 |
---|---|
Provider Name | Chirag Vaidya |
First Address | Upland, CA 91785-1869 |
Second Address | Upland, CA 91786-3676 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2007 |
Last Update Date | 02/08/2016 |