Individual
ASHISH ATULBHAI VYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2065 E SOUTH BLVD, SUITE 201, MONTGOMERY, AL 36116-2458
(334) 747-7250
(334) 747-7270
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 747-4159
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
32734
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101I133691
MEDICARE
AL
05
—
174886
—
AL
Enumeration date
08/19/2008
Last updated
01/05/2023
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