Provider Demographics
NPI:1447987656
Name:VED, VINITA PANKAJ (BDS, MDS)
Entity type:Individual
Prefix:DR
First Name:VINITA
Middle Name:PANKAJ
Last Name:VED
Suffix:
Gender:F
Credentials:BDS, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 5TH AVE S # 2022
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35222-2309
Mailing Address - Country:US
Mailing Address - Phone:205-975-9842
Mailing Address - Fax:205-975-2613
Practice Address - Street 1:3220 5TH AVE S # 2022
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35222-2309
Practice Address - Country:US
Practice Address - Phone:205-975-9842
Practice Address - Fax:205-975-2613
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-07
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNS1921223S0112X
ALST-0003731223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery