Individual
DR. PRITI B VYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 SAYBROOK RD STE 206, MIDDLETOWN, CT 06457-4775
(860) 344-0333
Mailing address
PO BOX 856, TERRELL, TX 75160-0014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77655
CT
207R00000X
Internal Medicine Physician
G4418
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135525710
—
TX
Enumeration date
09/20/2006
Last updated
05/01/2024
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