Provider Demographics
NPI:1164681151
Name:GADSON, VIDHI SRIVASTAVA (MD)
Entity type:Individual
Prefix:DR
First Name:VIDHI
Middle Name:SRIVASTAVA
Last Name:GADSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VIDHI
Other - Middle Name:
Other - Last Name:SRIVASTAVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:111 LIONS DRIVE
Mailing Address - Street 2:#210
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-3175
Mailing Address - Country:US
Mailing Address - Phone:847-304-0044
Mailing Address - Fax:847-304-5885
Practice Address - Street 1:111 LIONS DR STE 210
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-3175
Practice Address - Country:US
Practice Address - Phone:847-304-0044
Practice Address - Fax:847-304-5885
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036130194207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology