Individual
DR. ASHA VYAS DEVEREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1224 10TH ST STE 205, CORONADO, CA 92118
(619) 435-4203
(619) 435-0594
Mailing address
1224 10TH ST STE 205, CORONADO, CA 92118-3420
(619) 435-4203
(619) 435-0594
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
CA 51614
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
CA 51614
CA
207RP1001X
Pulmonary Disease Physician
Primary
CA51614
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A516140
—
CA
Enumeration date
01/27/2006
Last updated
06/07/2018
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