Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 35074228V | OH |
NPI | 1013947001 |
---|---|
Provider Name | Darshan K Vyas |
First Address | Tipp City, OH 45371-1758 |
Second Address | Tipp City, OH 45371-1758 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 03/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000026571 | ANTHEM BLUE CROSS BLUE SH (01) | OH |
0150456 | (05) | OH |
040013269 | RAILROAD MEDICARE (01) | OH |
2032544 | (05) | OH |
2060700 | (05) | OH |
272828193 | TRI CARE (01) | OH |
5738569 | AETNA (01) | OH |
G82607 | (02) | OH |