Healthcare Provider Details

I. General information

NPI: 1174649024
Provider Name (Legal Business Name): ORL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 01/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1808 W MAIN ST
TROY OH
45373-2304
US

IV. Provider business mailing address

915 W MICHIGAN ST YAGER BLDG, SUITE 301
SIDNEY OH
45365-2401
US

V. Phone/Fax

Practice location:
  • Phone: 937-335-4866
  • Fax: 937-335-4995
Mailing address:
  • Phone: 937-498-2361
  • Fax: 937-498-7451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. DARSHAN K VYAS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 937-498-2361