Organization
VYAS & VYAS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YONGKUMA CALEB YONGKUMA M.D. (OWNER/PHYSICIAN)
(334) 222-6041
Entity
Organization
Contact information
Practice address
1212 EAST THREE NOTCH STREET, ANDALUSIA, AL 36420
(334) 222-6041
(334) 222-1595
Mailing address
1212 EAST THREE NOTCH STREET, ANDALUSIA, AL 36420
(334) 222-6041
(334) 222-1595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8012
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000109308
—
AL
Enumeration date
10/02/2007
Last updated
12/23/2022
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