MEDICARE: DR. KETAN C VYAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036091476	IL
2	207R00000X	Internal Medicine Physician	01043808A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110136426	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0009707064	OTHER	IL	BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	282819	OTHER		HEALTHLINK

General Provider Information

NPI Number	:	1346216215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KETAN C VYAS MD

Provider Business Mailing Address
First Line	:	610 N COURT ST
Second Line	:
City	:	GRAYVILLE
State	:	IL
Zip	:	62844
Country	:	US
Telephone Number	:	618-375-7101
Fax Number	:	618-375-7183

Provider Business Practice Location Address
First Line	:	610 N COURT ST
Second Line	:
City	:	GRAYVILLE
State	:	IL
Zip	:	62844
Country	:	US
Telephone Number	:	618-375-7101
Fax Number	:	618-375-7183

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	04/22/2010

Similar Medicare Providers

1952351330 — CITY OF GRAYVILLE
Practice Location Address:

122 S COURT ST
GRAYVILLE, IL
62844-1509

Practice Phone: 618-375-3671
Practice Fax: 618-375-7869

1871695288 — BONUM INC
Practice Location Address:

320 S 2ND ST
GRAYVILLE, IL
62844-1527

Practice Phone: 618-375-2171
Practice Fax: 618-375-7756

1477645216 — KEITH C WINTERNHEIMER DDS PC
Practice Location Address:

610 NORTH COURT
GRAYVILLE, IL
62844-1002

Practice Phone: 618-375-6341
Practice Fax:

1386732311 — DR. STACIE M BALDWIN D.C.
Practice Location Address:

319 W COMMERCE ST
GRAYVILLE, IL
62844-1565

Practice Phone: 618-375-9992
Practice Fax: 618-375-9991

1811042229 — BRANDON MOORE CHIROPRACTIC P.C.
Practice Location Address:

718 S COURT ST
GRAYVILLE, IL
62844-1579

Practice Phone: 618-375-2771
Practice Fax:

1700920097 — KETAN C. VYAS, M.D., LLC
Practice Location Address:

610 N COURT ST
GRAYVILLE, IL
62844-1002

Practice Phone: 618-375-7101
Practice Fax: 618-375-7183

Directions to “ DR. KETAN C VYAS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.