Vaidya, Pankaj

Vaidya, Pankaj is an individual health care provider with primary practice located at 3600 Leonardtown Rd Suite 101, Waldorf MD 20601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Vaidya, Pankaj can be contacted via phone (301) 645-4320.

Contact Information

Primary practice address
3600 Leonardtown Rd Suite 101 Waldorf MD 20601
Fax: (301) 843-2384
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E3821 Arkansas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0070404 Maryland

Profile Details

NPI number 1013989029
LBN Legal business name Vaidya, Pankaj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated May 19th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013989029 NPPES
Arkansas MEDICAID 152360001

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