Individual
SHILPA VYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE # 223, ROCHESTER, NY 14621-3011
(585) 922-4031
(585) 922-2971
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(859) 224-0315
(585) 922-2971
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
296838
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
296838
NYS LICENSE
NY
01
—
MD60545596
WA MEDICAL LICENSE
WA
Enumeration date
07/05/2011
Last updated
03/07/2023
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