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.
|Practice Location|| 610 N Court St, Grayville, IL 62844-1002, US |
|Practice Location Phone||618-375-7101|
|Practice Location Fax||618-375-7183|
|Legal Business Name||KETAN C. VYAS, M.D., LLC|
|Enumeration Date ? ||Feb 19, 2007|
|Last Update Date ? ||Jul 15, 2008|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Ketan C. Vyas, M.d., Llc
|Specialty||Provider Type||Specialization||License||License State|
|Internal Medicine||Allopathic & Osteopathic Physicians|| ||036091476||Illinois|
Legacy Provider IDs of Ketan C. Vyas, M.d., Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||PRESIDENT|
|Authorized Official Phone Number||618-375-7101|