Provider Demographics
NPI:1952530339
Name:VAGHELA, VISHAL NARESH (MD)
Entity Type:Individual
Prefix:
First Name:VISHAL
Middle Name:NARESH
Last Name:VAGHELA
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 1:2312 REMINGTON WAY
Mailing Address - Street 2:#4307
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-2275
Mailing Address - Country:US
Mailing Address - Phone:859-576-4672
Mailing Address - Fax:
Practice Address - Street 1:2312 REMINGTON WAY
Practice Address - Street 2:#4307
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-2275
Practice Address - Country:US
Practice Address - Phone:859-576-4672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR1879207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine