Individual
DR. SHAYAN VYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 S ORANGE AVE STE 100, NEMOURS CHILDRENS CLINIC, ORLANDO, FL 32806-2946
(407) 650-7715
(407) 650-7124
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-6718
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME105218
FL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME105218
FL
Other
Enumeration date
01/10/2007
Last updated
11/27/2012
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