Individual
DR. DINESH VYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3133 W MARCH LN STE 1040B, STOCKTON, CA 95219-2360
(314) 260-7609
(517) 267-2462
Mailing address
9717 RUDDY DUCK WAY, ELK GROVE, CA 95757-8155
(314) 260-7609
(314) 260-7609
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2009006855
MO
208600000X
Surgery Physician
Primary
4301099055
MI
208600000X
Surgery Physician
57.011768
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528274503
—
MI
01
—
9810335
AETNA
MO
Enumeration date
05/15/2007
Last updated
01/23/2023
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