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1134805591
SHIV VYAS
LOS ANGELES, CA
NPI
1134805591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-06-22
Last Update Date
2023-06-22
Business Address
SHIV VYAS MD
1100 N STATE ST STE A7D
LOS ANGELES, CA 90033-5000
Phone number: 630-818-6708
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Mailing Address
SHIV VYAS MD
1200 N STATE ST CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033-1029
Phone number: 630-818-6708
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