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Individual

DR. PANKAJ KIRTIKANT VYAS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 MEDICAL DR, BENSON, NC 27504-1177
(919) 894-5787
(919) 207-2039
Mailing address
1 MEDICAL DR, BENSON, NC 27504-1177
(919) 894-5787
(919) 207-2039

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31087
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8985142
NY
Enumeration date
05/26/2006
Last updated
07/09/2007
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