Individual
SUBHASH A VYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 1/2 WEST SECOND AVENUE, WILLIAMSON, WV 25661-3506
(304) 235-0222
(304) 235-4343
Mailing address
P.O. BOX 1599, 22 1/2 WEST SECOND AVENUE, WILLIAMSON, WV 25661-1599
(304) 235-0222
(304) 235-4343
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
12356
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005337227
AETNA
—
01
—
001715853
MOUNTAIN STATE BCBS
—
05
—
0130944000
—
WV
Enumeration date
07/05/2006
Last updated
02/25/2011
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