MEDICARE: VAYYAR IMAGING US INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251T00000X	PACE Provider Organization
3	252Y00000X	Early Intervention Provider Agency
4	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1548025117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VAYYAR IMAGING US INC

Provider Business Mailing Address
First Line	:	33 W MONROE ST STE 1025
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60603-5618
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 W MONROE ST STE 1025
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60603-5618
Country	:	US
Telephone Number	:	818-704-5023
Fax Number	:

Authorized Official
Title or Position	:	HEALTHCARE PARTNERSHIPS
Name	:	AMIT NINARY
Credential	:
Telephone Number	:	818-704-5023

Provider Enumeration Date	:	02/14/2024
Last Update Date	:	02/14/2024

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