MEDICARE: DR. RITU RAMDEO 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	207RN0300X	Nephrology Physician	D0083540	MD
2	2083B0002X	Obesity Medicine (Preventive Medicine) Physician	D83540	MD

General Provider Information

NPI Number	:	1679822605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RITU RAMDEO VYAS MD

Provider Business Mailing Address
First Line	:	405 FREDERICK RD STE 1
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-4607
Country	:	US
Telephone Number	:	443-380-0120
Fax Number	:	443-678-5963

Provider Business Practice Location Address
First Line	:	405 FREDERICK RD STE 1
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-4607
Country	:	US
Telephone Number	:	443-380-0120
Fax Number	:	443-678-5963

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

Provider Enumeration Date	:	09/06/2012
Last Update Date	:	10/01/2025

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