Individual
MR. AVINASH CHANDRA VYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 S DOUGLAS BLVD, STE 301, OKLAHOMA CITY, OK 73150-1001
(405) 231-8888
(405) 772-4055
Mailing address
3400 S DOUGLAS BLVD, STE 301, OKLAHOMA CITY, OK 73150-1001
(405) 231-8888
(405) 772-4055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11243
OK
207RG0100X
Gastroenterology Physician
11243
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100007650A
—
OK
Enumeration date
02/06/2006
Last updated
10/19/2020
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