Provider Demographics
NPI:1174011324
Name:VYAS, ANUJ YOGESH (DO)
Entity Type:Individual
Prefix:DR
First Name:ANUJ
Middle Name:YOGESH
Last Name:VYAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20745 N SCOTTSDALE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6595
Mailing Address - Country:US
Mailing Address - Phone:480-882-7510
Mailing Address - Fax:
Practice Address - Street 1:20745 N SCOTTSDALE RD STE 120
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6595
Practice Address - Country:US
Practice Address - Phone:480-882-7510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0065926207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine