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NPI Code Detail

MEDICARE: AVINASH C. VYAS MD

MEDICARE: AVINASH 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
1207RG0100XGastroenterology Physician20911OK

General Provider Information

NPI Number : 1750441804
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVINASH C. VYAS MD
Provider Business Mailing Address
First Line : PO BOX 30954
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73140-3954
Country : US
Telephone Number : 405-737-6871
Fax Number : 405-737-7700
Provider Business Practice Location Address
First Line : 6908 E RENO AVE
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73110-2128
Country : US
Telephone Number : 405-737-6891
Fax Number : 405-737-7700
Authorized Official
Title or Position : OWNER
Name : MR. AVINASH C VYAS
Credential : M.D
Telephone Number : 405-737-6871
Provider Enumeration Date : 12/11/2006
Last Update Date : 08/22/2020

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