Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 49637 | KY |
N | 207RC0000X | Internist - Cardiovascular Disease | 49637 | KY |
NPI | 1558701748 |
---|---|
Provider Name | Dr. Gaurang Nandkishor Vaidya |
First Address | Lexington, KY 40536-0001 |
Second Address | Lexington, KY 40536-0294 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2013 |
Last Update Date | 29/07/2020 |