Individual
DR. VYAS TENKASI VISWANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
PO BOX 100265, GAINESVILLE, FL 32610-0265
(352) 265-0239
(352) 265-1107
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2020-02676
NC
Other
Enumeration date
03/31/2016
Last updated
09/07/2023
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