VYAS HARSHAVADAN J MD NPI 1114290244

NPI Information

NPI: 1114290244
Provider Name: VYAS HARSHAVADAN J MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address: 1013 CLINTON ST
OTTAWA, IL
ZIP 61350
Phone: (815) 433-3331

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NPI Details

VYAS HARSHAVADAN J MD is an obstetrics gynecology in Ottawa, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. VYAS HARSHAVADAN J MD NPI is 1114290244. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1013 CLINTON ST
OTTAWA, IL
ZIP 61350-039
Phone: (815) 433-3331
Fax: (815) 433-3344

The provider's authorized official is Harshavadan J Vyas .
The authorized official title is Physician/owner and has the following contact phone number (815) 433-3331.

The enumeration date for this NPI number is 2/21/2012 and was last updated on 2/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		036071120	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036071120	MEDICAID	ILLINOIS
2	910811	MEDICARE PIN	ILLINOIS
3	E19365	MEDICARE UPIN	ILLINOIS
4	500034350	OTHER	ILLINOIS	BLUECROSS BLUE SHIELD PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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