Individual
MR. VINAY VAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5131 ODONOVAN DR STE 300, BATON ROUGE, LA 70808-4792
(225) 374-0400
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0636
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
342776
LA
390200000X
Student in an Organized Health Care Education/Training Program
BP10079323
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/26/2019
Last updated
08/08/2024
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