| Ketan C. Vyas, M.d., Llc | |
|
610 N Court St Grayville IL 62844-1002 | |
| (618) 375-7101 | |
| (618) 375-7183 |
| Full Name | Ketan C. Vyas, M.d., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 610 N Court St, Grayville, Illinois |
| Authorized Official Name and Position | Ketan C Vyas (PRESIDENT) |
| Authorized Official Contact | 6183757101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ketan C. Vyas, M.d., Llc 610 N Court St Grayville IL 62844-1002 Ph: (618) 375-7101 | Ketan C. Vyas, M.d., Llc 610 N Court St Grayville IL 62844-1002 Ph: (618) 375-7101 |
| NPI Number | 1700920097 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700920097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036091476 (Illinois) | Primary |
Wabash General Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 610 N Court St, Grayville, IL 62844 Phone: 618-375-7101 Fax: 618-375-7183 |