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Individual

DR. JATIN MAHESH VYAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD,PHD

Contact information

Practice address
180 FORT WASHINGTON AVE FL 2, NEW YORK, NY 10032-3722
(212) 305-8039
(212) 305-1754
Mailing address
180 FORT WASHINGTON AVE FL 2, NEW YORK, NY 10032-3722
(212) 305-8039
(212) 305-1754

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
333389
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
157272
TUFTS HEALTH PLAN
MA
05
3208214
MA
01
J22336
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
10/25/2024
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