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Pooja Shah Vyas, MD
Student in an Organized Health Care Education/Training Program in Bronx, New York
NPI 1306342159

Pooja Shah Vyas is a Student in an Organized Health Care Education/Training Program based in Burr Ridge, NY. Pooja Shah Vyas practices in Bronx, NY and has the professional credentials of MD. The NPI Number for Pooja Shah Vyas is 1306342159 and holds a License No. 316711 (New York).

The current practice location address for Pooja Shah Vyas is 111 E 210Th St, Bronx, NY and can be reached out via phone at 718-430-3047 and via fax at 718-430-8774.

Location: 111 E 210Th St, Bronx, NY, 60527-7594
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306342159
Provider Name
Pooja Shah Vyas
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
111 E 210Th St, Bronx, NY, 60527-7594
Phone Number
718-430-3047
Fax Number
718-430-8774
Provider Enumeration Date
04/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 E 210Th St
City
Bronx
State
New York
Zip
10467-2401
Phone Number
718-430-3047
Fax Number
718-430-8774
person
Provider Business Mailing Address Details
Address
111 E 210Th St
City
Bronx
State
New York
Zip
10467-2401
Phone Number
718-430-3047
Fax Number
718-430-8774
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
125.074781 (Illinois)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
316711 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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