Organization
DR. VAYWALA P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAYAN VAYWALA M.D. (PRESIDENT)
(410) 848-2170
Entity
Organization
Contact information
Practice address
1130 BALTIMORE BLVD, WESTMINSTER, MD 21157-7098
(410) 848-2170
(410) 848-8679
Mailing address
12415 PRESERVE WAY, REISTERSTOWN, MD 21136-3533
(410) 848-2170
(410) 876-2270
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716601000
—
MD
01
—
LQ64VA
CAREFIRST B/C B/S
MD
01
—
R513
CAREFERST B/C B/S
DC
Enumeration date
06/10/2006
Last updated
01/20/2017
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