Organization
ORL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARSHAN K VYAS M.D. (PRESIDENT)
(937) 498-2361
Entity
Organization
Contact information
Practice address
1808 W MAIN ST, TROY, OH 45373-2304
(937) 335-4866
(937) 335-4995
Mailing address
915 W MICHIGAN ST, YAGER BLDG, SUITE 301, SIDNEY, OH 45365-2401
(937) 498-2361
(937) 498-7451
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000024933
BLUE CROSS BLUE SHIELD DM
OH
01
—
040013269
RAILROAD MEDICARE
OH
01
—
040013564
RAILROAD MEDICARE
OH
05
—
2032544
—
OH
Enumeration date
03/22/2007
Last updated
01/20/2009
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