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Individual

DR. SANJAY VYAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
701 E COUNTY LINE RD, SUITE 101, GREENWOOD, IN 46143-1070
(317) 883-4736
(317) 885-2869
Mailing address
701 E COUNTY LINE RD, SUITE 101, GREENWOOD, IN 46143-1070
(317) 883-4736
(317) 885-2869

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001940A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200289430
IN
Enumeration date
02/07/2006
Last updated
01/12/2022
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