Individual
KAETAN VYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-2000
Mailing address
1605 KATER ST, PHILADELPHIA, PA 19146-1537
(267) 346-9015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT220452
PA
Other
Enumeration date
06/24/2020
Last updated
11/27/2023
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