Provider Demographics
NPI:1174369268
Name:KAIVALYA VYAS M.D., L.L.C.
Entity type:Organization
Organization Name:KAIVALYA VYAS M.D., L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAIVALYA
Authorized Official - Middle Name:
Authorized Official - Last Name:VYAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-361-4046
Mailing Address - Street 1:1951 NW 7TH AVE STE 160
Mailing Address - Street 2:#106
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1139
Mailing Address - Country:US
Mailing Address - Phone:954-361-4046
Mailing Address - Fax:
Practice Address - Street 1:1951 NW 7TH AVE
Practice Address - Street 2:SUITE 160 #106
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-8561
Practice Address - Country:US
Practice Address - Phone:954-361-4046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty