Individual
DR. DAKSHA C VYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 E. 89TH AVE., SUITE 3 - B, MERRILLVILLE, IN 46410-7319
(219) 769-7861
(219) 769-6281
Mailing address
200 E. 89TH AVE., SUITE 3 - B, MERRILLVILLE, IN 46410-7319
(219) 769-7861
(219) 769-6281
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
01032692
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100169820
—
IN
01
—
130001339
RAILROAD MEDICARE
—
Enumeration date
09/28/2006
Last updated
08/18/2021
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