Provider Demographics
NPI:1518940642
Name:VYAS, HASMUKH A (MB,BS)
Entity Type:Individual
Prefix:DR
First Name:HASMUKH
Middle Name:A
Last Name:VYAS
Suffix:
Gender:M
Credentials:MB,BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 CHINQUAPIN ORCH
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23693-2321
Mailing Address - Country:US
Mailing Address - Phone:757-868-4415
Mailing Address - Fax:
Practice Address - Street 1:4601 IRONBOUND ROAD
Practice Address - Street 2:EASTERN STATE HOSPITAL
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23187-8791
Practice Address - Country:US
Practice Address - Phone:757-253-5161
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010368802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry