Provider Demographics
NPI:1861806481
Name:VYAS, KAIVALYA JAY (MD)
Entity type:Individual
Prefix:DR
First Name:KAIVALYA
Middle Name:JAY
Last Name:VYAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 NW 7TH AVE STE 160
Mailing Address - Street 2:#106
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-4356
Mailing Address - Country:US
Mailing Address - Phone:954-361-4046
Mailing Address - Fax:
Practice Address - Street 1:350 W 14TH ST # HA6065
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2369
Practice Address - Country:US
Practice Address - Phone:317-274-4343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-12
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01095864A204D00000X, 2083A0300X, 208VP0014X, 202D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine