Vinod Kumar Gidvani-Diaz, MD

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

License

M7212 Issued in TX

Practice address

4410 Medical Dr
Ste 540
San Antonio, TX 78229-3755

Phone

(210) 916-7727

Fax

(210) 916-9319

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1568492387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SENDERO WOODS",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "780158370",
            "telephone_number": "210-557-3172",
            "fax_number": "210-916-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR",
            "address_2": "STE 540",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293755",
            "telephone_number": "210-916-7727",
            "fax_number": "210-916-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDVANI-DIAZ",
        "first_name": "VINOD",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "TX",
            "license": "M7212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Gibson
• Todd Andrew Gibson, PH.D, CCC-SLP
• William Allen Gibson, M.D.
• Katherine Ann Giddens, LPC
• Sandra Elsa Giddens, COTA
• Azure Giebler
• Lavoyger Edward Gies, D.D.S.
• Rachel Anne Giese, M.D.
• Samuel C Giesey Jr., DDS
• Blake Giffin

• Pediatric Hematology & Oncology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Hematology & Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.