Individual
BHAVANA R. VYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, ONE FORD PLACE 5E, DETROIT, MI 48202
(313) 874-6660
Mailing address
HENRY FORD HEALTH SYSTEM, ONE FORD PLACE 5E, DETROIT, MI 48202
(313) 874-6660
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301072081
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BV072081
CHAMPUS-CHAMPUS
—
Enumeration date
01/04/2007
Last updated
07/08/2007
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