Individual
DIVYAKUMAR PARESHKUMAR VYASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 MEMORIAL AVE, WESTMINSTER, MD 21157-5726
(410) 871-6235
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0100569
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2021
Last updated
07/24/2024
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