Provider Demographics
NPI:1801250493
Name:VYAS, KRISHNA SUBHASH (MD, PHD, MHS)
Entity type:Individual
Prefix:DR
First Name:KRISHNA
Middle Name:SUBHASH
Last Name:VYAS
Suffix:
Gender:M
Credentials:MD, PHD, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800A 5TH AVE STE 300A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7215
Mailing Address - Country:US
Mailing Address - Phone:212-427-3982
Mailing Address - Fax:604-282-3037
Practice Address - Street 1:800A 5TH AVE STE 300A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7215
Practice Address - Country:US
Practice Address - Phone:212-427-3982
Practice Address - Fax:604-282-3037
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY316587208200000X
MA10149632086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery