Home » Illinois » 62844 » Ketan C. Vyas, M.d., Llc

Ketan C. Vyas, M.d., Llc

Ketan C. Vyas, M.d., Llc is a health care provider in Grayville, IL. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 610 N Court St, Grayville, IL 62844-1002, US
Practice Location Phone618-375-7101
Practice Location Fax618-375-7183
Legal Business NameKETAN C. VYAS, M.D., LLC
NPI ?1700920097
Entity TypeOrganization
Enumeration Date ? Feb 19, 2007
Last Update Date ? Jul 15, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Ketan C. Vyas, M.d., Llc

SpecialtySpecializationLicenseLicense State
Internal Medicine 036091476Illinois

legacy-id-icon Legacy Provider IDs of Ketan C. Vyas, M.d., Llc

Provider IdIssuer StateIssuer TypeIssuer
=========001IllinoisMedicaid

official-icon Authorized Official of Ketan C. Vyas, M.d., Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Ketan C. Vyas, M.d., Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Ketan C Vyas (M.D.)
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number618-375-7101