Individual
SAHANA VYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8679 CONNECTICUT STREET, SUITE A, MERRILLVILLE, IN 46410
(219) 769-9022
(219) 769-9022
Mailing address
8679 CONNECTICUT STREET, SUITE A, MERRILLVILLE, IN 46410
(219) 769-9022
(219) 769-9022
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01071628A
IN
207W00000X
Ophthalmology Physician
036131211
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01071628A
INDIANA LICENSE
IN
01
—
036131211
ILLINOIS LICENSE
IL
05
—
036131211
—
IL
05
—
201135120
—
IN
01
—
496710
MEDICARE
IN
01
—
660093003
MEDICARE LICENSE
IL
Enumeration date
07/21/2006
Last updated
10/29/2014
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