Vyas, Kavita S
Vyas, Kavita S is an sole proprietor health care provider with primary practice located at 607 Russell Blvd A, Nacogdoches TX 75965-1247. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Vyas, Kavita S can be contacted via phone (936) 560-2920.Contact Information
Primary practice address
607 Russell Blvd A
Nacogdoches TX 75965-1247
Phone: (936) 560-2920
Fax: (866) 861-6312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K9697 | Texas |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | K9697 | Texas |
Profile Details
| NPI number | 1346246964 |
|---|---|
| LBN Legal business name | Vyas, Kavita S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Apr 19th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346246964 | NPPES |
| Texas | MEDICAID | 043017501 |
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