Vaidya, Keta Kiran

Vaidya, Keta Kiran is an sole proprietor health care provider with primary practice located at 420 Lowell Dr Se Suite 204, Huntsville AL 35801-3754. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Vaidya, Keta Kiran can be contacted via phone (256) 536-9031.

Contact Information

Primary practice address
420 Lowell Dr Se Suite 204 Huntsville AL 35801-3754
Fax: (256) 539-4240
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 241589 Massachusetts
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 90364 Alabama

Profile Details

NPI number 1891923256
LBN Legal business name Vaidya, Keta Kiran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2009
Last updated Sep 25th, 2015 - about 10 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 1891923256 NPPES
Alabama MEDICAID 174846

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