Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2019011173 | MO |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 2019011173 | MO |
NPI | 1609296342 |
---|---|
Provider Name | Dr. Parth S Vyas |
First Address | Saint Louis, MO 63110-1010 |
Second Address | Saint Louis, MO 63110-1032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2014 |
Last Update Date | 22/08/2019 |