Individual
DR. KAMLESH C VYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,.
Contact information
Practice address
3915 WATSON RD, SUITE 100, SAINT LOUIS, MO 63109-1251
(314) 881-0300
(314) 881-0321
Mailing address
3915 WATSON RD STE 100, SAINT LOUIS, MO 63109-1251
(314) 881-0300
(636) 225-5552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2005027159
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207481003
—
MO
05
—
207481011
—
MO
Enumeration date
01/04/2006
Last updated
03/16/2021
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