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Individual

MR. NILESH A VYAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8081 INNOVATION PARK DR STE 900, FAIRFAX, VA 22031-4867
(571) 472-4100
(571) 472-4101
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101231842
VA
207T00000X
Neurological Surgery Physician
2006007887
MO
207T00000X
Neurological Surgery Physician
D69761
MD
207T00000X
Neurological Surgery Physician
MD0000044881
TN
207T00000X
Neurological Surgery Physician
ME102389
FL

Other

Enumeration date
04/02/2007
Last updated
07/12/2021
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