Vyas, Indravadan

Vyas, Indravadan is an individual health care provider with primary practice located at 201 Cedar St Se Ste 4660 , Albuquerque NM 87106-4924. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Vyas, Indravadan can be contacted via phone (505) 563-6530.

Contact Information

Primary practice address
201 Cedar St Se Ste 4660 Albuquerque NM 87106-4924
Phone: (505) 563-6530
Fax: (505) 563-6336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0084182 Florida
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD2016-0003 New Mexico

Profile Details

NPI number 1942299888
LBN Legal business name Vyas, Indravadan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jan 17th, 2017 - about 8 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 1942299888 NPPES
Florida MEDICAID 264836900
Florida MEDICAID 32756526

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