Provider Demographics
NPI:1760548747
Name:VYAS, ANUJA (MD)
Entity Type:Individual
Prefix:
First Name:ANUJA
Middle Name:
Last Name:VYAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANUJA
Other - Middle Name:VIRENDRA
Other - Last Name:SANGHVI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6550 FANNIN ST STE 2221
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2722
Mailing Address - Country:US
Mailing Address - Phone:713-797-9666
Mailing Address - Fax:
Practice Address - Street 1:6550 FANNIN ST STE 2221
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2722
Practice Address - Country:US
Practice Address - Phone:713-797-9666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMD6942207V00000X
PAMT182270207V00000X
TXM6942207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX186654303Medicaid
TX186654301Medicaid
TX186654308Medicaid
TX186654303Medicaid
TX8L2194Medicare PIN
TX8J9397Medicare PIN