Provider Demographics
NPI:1982630679
Name:VYAS, NEHA B (MD)
Entity Type:Individual
Prefix:
First Name:NEHA
Middle Name:B
Last Name:VYAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24701 EUCLID AVE
Mailing Address - Street 2:THIRD FLOOR - BILLING SERVICES
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:330-425-2212
Mailing Address - Fax:330-425-2779
Practice Address - Street 1:8819 COMMONS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-4102
Practice Address - Country:US
Practice Address - Phone:330-425-2212
Practice Address - Fax:330-425-2779
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101233433207Q00000X
OH35-098748207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA91227OtherSENTARA
VA323710OtherAETNA HMO
VA1378007OtherCIGNA
VA245663OtherSOUTHERN HEALTH SERVICES
VA144769OtherANTHEM BCBS OF VA
VA2130759OtherMAMSI
VAP00153620OtherRAILROAD MEDICARE
VA010095051Medicaid
VA7508256OtherAETNA LIFE
VAH34468Medicare UPIN
VA323710OtherAETNA HMO