Individual
NAYAN VAYWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1130 BALTIMORE BLVD, WESTMINSTER, MD 21157-7098
(410) 848-2170
(410) 876-2270
Mailing address
12415 PRESERVE WAY, REISTERSTOWN, MD 21136-3533
(410) 848-2170
(410) 876-2270
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
D23443
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716601000
—
MD
01
—
LQ64VA
BLUE CROSS & BLUE SHEILD
MD
01
—
R5130001
CAREFIRST B/C B/S
DC
Enumeration date
06/08/2006
Last updated
01/20/2017
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