| Vyas & Vyas Md Pc | |
|
1212 East Three Notch Street Andalusia AL 36420 | |
| (334) 222-6041 | |
| (334) 222-1595 |
| Full Name | Vyas & Vyas Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1212 East Three Notch Street, Andalusia, Alabama |
| Authorized Official Name and Position | Yongkuma Caleb Yongkuma (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3342226041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vyas & Vyas Md Pc 1212 East Three Notch Street Andalusia AL 36420 Ph: (334) 222-6041 | Vyas & Vyas Md Pc 1212 East Three Notch Street Andalusia AL 36420 Ph: (334) 222-6041 |
| NPI Number | 1528255601 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 12/23/2022 |
| Medicare PECOS PAC ID | 4981624962 |
|---|---|
| Medicare Enrollment ID | O20051206000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528255601 | NPI | - | NPPES |
| 000109308 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 8012 (Alabama) | Primary |
| Provider Name | Yongkuma C Yongkuma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417148081 PECOS PAC ID: 6800986373 Enrollment ID: I20071220000415 |
| Provider Name | Vijay C Vyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689679656 PECOS PAC ID: 3173677754 Enrollment ID: I20101117001091 |
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Andalusia Physician Practices Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 847 W Bypass Ste A, Andalusia, AL 36420 Phone: 334-428-2273 Fax: 334-222-1150 |