Individual
AMIT D VYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD SC
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
01045391A
IN
207RI0011X
Interventional Cardiology Physician
Primary
036084893
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084893
—
IL
05
—
200493200A
—
IN
01
—
364274312
TAX ID
IL
01
—
364274312
TAX ID
IN
Enumeration date
09/21/2006
Last updated
12/29/2021
Update your record
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