# VAYU HEALTH MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164314217
- **Authorized official:** DR. AVNI SHAH MD (CEO)
- **Authorized official phone:** (650) 400-9851

## Contact information

- **Practice address:** 19 ALISO WAY, PORTOLA VALLEY, CA 94028-7526
- **Practice address phone:** (650) 400-9851
- **Mailing address:** 19 ALISO WAY, PORTOLA VALLEY, CA 94028-7526
- **Mailing address phone:** (650) 444-1569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | NULL | — |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | — | — |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/15/2025
- **Last updated:** 07/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1861598450 | — | CA |