BHAVANA VYAS MD PLLC NPI 1427430677

NPI Information

  • NPI: 1427430677
  • Provider Name: BHAVANA VYAS MD PLLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: MACOMB MEDICAL PEDIATRICS
  • CLIA Number: 23D2100578
  • Address: 43475 DALCOMA DR STE 208
    CLINTON TWP, MI
    ZIP 48038
  • Phone: (586) 263-1818

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NPI Details

BHAVANA VYAS MD PLLC is a pediatrics in Clinton Twp, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BHAVANA VYAS MD PLLC NPI is 1427430677. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Macomb Medical Pediatrics.

The provider's business location address is:

43475 DALCOMA DR STE 208
CLINTON TWP, MI
ZIP 48038-593
Phone: (586) 263-1818
Fax: (586) 314-6044

The provider's authorized official is Bhavana Vyas .
The authorized official title is President and has the following contact phone number (586) 263-1818.

The CLIA number assigned to this NPI record is 23D2100578 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2015 and was last updated on 11/12/2019.

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
1208000000XPediatricsYes
2261QP2300XClinic/CenterPrimary CareNo

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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