Kellie Vaidya (NPI# 1255716825, PAC ID# 8426352113) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1255716825 |
| PAC ID by PECOS | 8426352113 |
| Professional Enrollment ID | I20160201000071 |
| Full Name | Kellie Vaidya |
| Organization Legal Name | ADVANCED ALLERGY AND ASTHMA ASSOCIATES |
| Address |
540 E Southlake Blvd 140 Southlake Office Southlake TX 76092-6234 |
| Phone Number | 8174102111 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2668611815 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9433 N Beach St, Suite 111, Fort Worth, TX 76244-6306 | 8174287000 | ADVANCED ALLERGY AND ASTHMA ASSOCIATES |
| 540 E Southlake Blvd, 140 Southlake Office, Southlake, TX 76092-6234 | 8174102111 | ADVANCED ALLERGY AND ASTHMA ASSOCIATES |
| Organization Legal Name | ADVANCED ALLERGY AND ASTHMA ASSOCIATES |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dalia G Galicia | Allergy/immunology | Advanced Allergy and Asthma Associates | 9433 N Beach St, Suite 111, Fort Worth, TX 76244-6306 |
| Swapnil Vaidya | Allergy/immunology | Advanced Allergy and Asthma Associates | 9433 N Beach St, Suite 111, Fort Worth, TX 76244-6306 |
| Street Address |
540 E SOUTHLAKE BLVD 140 SOUTHLAKE OFFICE |
| City | SOUTHLAKE |
| State | TX |
| Zip | 76092-6234 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol A Marsh | Optometry | Marsh Eye Center Inc | Marsh Eye Ctr, 670 East Southlake Blvd, Southlake, TX 76092 |
| Branon Z Marsh | Optometry | Marsh Eye Center Inc | Marsh Eye Ctr, 670 East Southlake Blvd, Southlake, TX 76092 |
| Jerry L Lugger | Plastic and Reconstructive Surgery | 3061 W Southlake Blvd, Suite 130, Southlake, TX 76092-0311 | |
| Deborah J Zanella | Optometry | Zanella Optometry, Pllc | 2111 E Kirkwood Blvd, 100 Kirkwood Eye Center, Southlake, TX 76092-1441 |
| Alex R Conley | Optometry | Zanella Optometry, Pllc | 2111 E Kirkwood Blvd, 100 Kirkwood Eye Center, Southlake, TX 76092-1441 |
| Taylor R Brooks | Optometry | Zanella Optometry, Pllc | 2111 E Kirkwood Blvd, 100 Kirkwood Eye Center, Southlake, TX 76092-1441 |
| Peter J Zanella Jr. | Optometry | Zanella Optometry, Pllc | 2111 E Kirkwood Blvd, 100 Kirkwood Eye Center, Southlake, TX 76092-1441 |
| Rawn E Bosley | Dermatology | 925 E Southlake Blvd, Suite 200, Southlake, TX 76092-1476 | |
| Victoria A Lopez | Physical Therapy | Ideal Physical Therapy of Texas LLC | 245 W State Hwy 114, Suite 320, Southlake, TX 76092-3603 |
| Asif Husain | General Surgery | 190 W State Hwy 114, Suite G, Southlake, TX 76092-3612 | |
| Find all physicians in zip 76092 | |||
| City | SOUTHLAKE |
| Zip Code | 76092 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SOUTHLAKE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kellie Vaidya.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.