Indravadan Vyas, MD | |
201 Cedar St Se Ste 4660, Albuquerque, NM 87106-4924 | |
(505) 563-6530 | |
(505) 563-6336 |
Full Name | Indravadan Vyas |
---|---|
Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 201 Cedar St Se Ste 4660, Albuquerque, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942299888 | NPI | - | NPPES |
264836900 | Medicaid | FL | |
32756526 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME0084182 (Florida) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | MD2016-0003 (New Mexico) | Primary |
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Mailing Address | Practice Location Address |
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Indravadan Vyas, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Indravadan Vyas, MD 201 Cedar St Se Ste 4660, Albuquerque, NM 87106-4924 Ph: (505) 563-6530 |
Dr. Ryan P. Tyner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 10511 Golf Course Rd Nw, Albuquerque, NM 87114 Phone: 505-262-7281 | |
Krista L Turner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-6441 | |
Dr. Sylvia Marina Ramos, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1010 Las Lomas Rd Ne, Suite #1, Albuquerque, NM 87102 Phone: 505-248-1518 Fax: 505-248-1610 | |
Laura Medina, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Jefferson St Ne, Albuquerque, NM 87109 Phone: 505-925-7464 | |
Dr. Brian Lee Holt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 715 Martin Luther King Ave Ne, Suite 301, Albuquerque, NM 87102 Phone: 505-262-7281 Fax: 505-262-7622 | |
Deanna Gonzalez, Surgery Medicare: Not Enrolled in Medicare Practice Location: Msc10 5610 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4161 Fax: 505-272-2776 | |
Melvin D Brown, PA-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 1648 Alameda Blvd Nw, Albuquerque, NM 87114 Phone: 505-944-7508 Fax: 505-998-6927 |