Provider Demographics
NPI:1811109226
Name:SAYAL, VIKAS (MD)
Entity type:Individual
Prefix:DR
First Name:VIKAS
Middle Name:
Last Name:SAYAL
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 1:6223 S VISTA LAGUNA DR
Mailing Address - Street 2:
Mailing Address - City:FORT MOHAVE
Mailing Address - State:AZ
Mailing Address - Zip Code:86426-7044
Mailing Address - Country:US
Mailing Address - Phone:928-299-5299
Mailing Address - Fax:928-299-5169
Practice Address - Street 1:3003 HIGHWAY 95 # D-51
Practice Address - Street 2:
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-7860
Practice Address - Country:US
Practice Address - Phone:928-299-5299
Practice Address - Fax:928-299-5169
Is Sole Proprietor?:No
Enumeration Date:2007-05-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-6461207RP1001X, 207R00000X
MDD74353207RP1001X, 207R00000X, 207RC0200X
AZ37121207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine