Provider Demographics
NPI:1689018962
Name:VYAS, VARAD SHIRISH (MD)
Entity Type:Individual
Prefix:DR
First Name:VARAD
Middle Name:SHIRISH
Last Name:VYAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 N VAN DIEN AVE OFC
Mailing Address - Street 2:HOSPITALIST OFFICE
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-2736
Mailing Address - Country:US
Mailing Address - Phone:201-447-8618
Mailing Address - Fax:
Practice Address - Street 1:223 N VAN DIEN AVE OFC
Practice Address - Street 2:HOSPITALIST OFFICE
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-2736
Practice Address - Country:US
Practice Address - Phone:201-447-8618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09976400208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist