Provider Demographics
NPI:1548256738
Name:VAZE, MILIND M (MD)
Entity type:Individual
Prefix:DR
First Name:MILIND
Middle Name:M
Last Name:VAZE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:727 WELSH RD
Mailing Address - Street 2:SUITE-101
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-6357
Mailing Address - Country:US
Mailing Address - Phone:215-914-0600
Mailing Address - Fax:215-914-0115
Practice Address - Street 1:727 WELSH RD
Practice Address - Street 2:SUITE-101
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-6357
Practice Address - Country:US
Practice Address - Phone:215-914-0600
Practice Address - Fax:215-914-0115
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD051961L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2566127OtherAETNA
PA0014786810006Medicaid
PA1765000OtherUNITED HEALTHCARE
PA6516OtherBRAVO ELDERHEALTH
PA1015102OtherKEYSTONE MERCY HEALTH PLA
PA5830472OtherCIGNA
PA71206OtherADVANTRA FREEMAN
PAPHS586OtherOXFORD HEALTH
PA0147868112OtherAMERICHOICE OF PA
PA0709701000OtherIBC
PA19194OtherHEALTH PARTNERS
PA766011OtherBC BS OF PA
PA0014786810006Medicaid
PA766011OtherBC BS OF PA
PAPHS586OtherOXFORD HEALTH