DR. NUTAN JYOTHI VAZ M.D. NPI 1235380643

NPI Information

  • NPI: 1235380643
  • Provider Name: DR. NUTAN JYOTHI VAZ, M.D.
  • Classification: Internal Medicine - 207RX0202X
  • Specialization: Medical Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11850 BLACKFOOT ST NW STE 300
    COON RAPIDS, MN
    ZIP 55433
  • Phone: (763) 236-0808

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NPI Details

DR. Nutan Jyothi Vaz, M.D. is a medical oncology internal medicine in Coon Rapids, MN with 24 years of experience. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. DR. Nutan Jyothi Vaz, M.D. NPI is 1235380643. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11850 BLACKFOOT ST NW STE 300
COON RAPIDS, MN
ZIP 55433-772
Phone: (763) 236-0808
Fax: (763) 236-6065

The NPI 1235380643 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2008 and was last updated on 11/20/2025.

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
1207RH0003XInternal MedicineHematology & OncologyMD-24844HAWAIINo
2207RH0003XInternal MedicineHematology & Oncology162504MONTANANo
3207RX0202XInternal MedicineMedical Oncology78892MINNESOTAYes
4207RH0003XInternal MedicineHematology & OncologyME113167FLORIDANo
5207RH0003XInternal MedicineHematology & OncologyPT21148NORTH DAKOTANo
6207R00000XInternal Medicine001165GEORGIANo

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
114L7ZOTHERFLORIDABCBSFL

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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