Provider Demographics
NPI:1922173137
Name:DAYAL, VIVEK H (MD)
Entity Type:Individual
Prefix:
First Name:VIVEK
Middle Name:H
Last Name:DAYAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7215 WYOMING SPGS
Mailing Address - Street 2:BLDG 3 STE 700
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4312
Mailing Address - Country:US
Mailing Address - Phone:512-225-6345
Mailing Address - Fax:512-225-6344
Practice Address - Street 1:7215 WYOMING SPGS
Practice Address - Street 2:BLDG 3 STE 700
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4312
Practice Address - Country:US
Practice Address - Phone:512-225-6345
Practice Address - Fax:512-246-3340
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2015-10-30
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Provider Licenses
StateLicense IDTaxonomies
TXK4308207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
8M5250OtherBC
371486934OtherTRICARE
TX8B9331Medicare PIN
H37791Medicare UPIN