Vyas, Amit

Vyas, Amit is an individual health care provider with primary practice located at 2200 Fort Jesse Road Ste. 280, Normal IL 61761-6289. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Vyas, Amit can be contacted via phone (730) 945-2178.

Contact Information

Primary practice address
2200 Fort Jesse Road Ste. 280 Normal IL 61761-6289
Phone: (730) 945-2178
Fax: (309) 862-1302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301081953 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036.123244 Illinois

Profile Details

NPI number 1063627214
LBN Legal business name Vyas, Amit
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Feb 26th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063627214 NPPES
Illinois MEDICAID 036123244

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