Healthcare Provider Details

I. General information

NPI: 1447678917
Provider Name (Legal Business Name): NEIL VYAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2014
Last Update Date: 03/07/2026
Certification Date: 03/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3011 S LINDSAY RD STE 115
GILBERT AZ
85295-4334
US

IV. Provider business mailing address

3011 S LINDSAY RD STE 115
GILBERT AZ
85295-4334
US

V. Phone/Fax

Practice location:
  • Phone: 602-249-8578
  • Fax: 602-613-3832
Mailing address:
  • Phone: 602-541-1575
  • Fax: 602-926-1418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number64476
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: