INDRAVADAN VYAS MD NPI 1942299888

NPI Information

NPI: 1942299888
Provider Name: INDRAVADAN VYAS, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
201 CEDAR ST SE STE 4660
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 563-6530
Get Directions

Indravadan Vyas, MD is a pediatric surgery surgery in Albuquerque, NM. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Indravadan Vyas, MD NPI is 1942299888. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

201 CEDAR ST SE STE 4660
ALBUQUERQUE, NM
ZIP 87106-924
Phone: (505) 563-6530
Fax: (505) 563-6336

The NPI 1942299888 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 10/13/2005 and was last updated on 1/17/2017.

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	208000000X	Pediatrics		ME0084182	FLORIDA	No
2	2086S0120X	Surgery	Pediatric Surgery	MD2016-0003	NEW MEXICO	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
1	264836900	MEDICAID	FLORIDA
2	32756526	MEDICAID	NEW MEXICO
3	U8978Z	MEDICARE PIN

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: 4/28/2024

NPI Synchronization or Removal

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