Ketan C. Vyas, M.D., LLC
Organization Active NPI Internal Medicine Physician · Grayville, IL
NPI 1700920097 · NPPES record last updated Jul 15, 2008
Key facts
- NPI
- 1700920097
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036091476 (IL)
- Legal business name
- KETAN C. VYAS, M.D., LLC
- Practice address
- 610 N Court St
Grayville, IL 62844-1002 - Phone
- (618) 375-7101
- Fax
- (618) 375-7183
- NPI assigned
- Feb 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Ketan C Vyas, M.D.
- Title
- President
- Phone
- (618) 375-7101
Practitioners 1
-
Ketan C Vyas, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 036091476 | IL | Yes |
Addresses
Primary practice location
610 N Court St
Grayville, IL 62844-1002
Mailing address
610 N Court St
Grayville, IL 62844-1002
Phone (618) 375-7101
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All providers in Grayville, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.