Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Pratik Vaidya, PA-C

Individual provider Medical Physician Assistant · NPI 1568016913

Mr. Pratik Vaidya, PA-C is a Medical Physician Assistant in Kingsport, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1325 E Center St
Kingsport, TN 37664-2444
Phone: (423) 245-2078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 E Watauga Ave, Johnson City, TN 37601-4011 — (423) 328-3386

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 4571 (TN)

Record details

NPI number1568016913
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 24, 2019
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

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