| Doctor Name: | AMIT VYAS |
| NPI Number: | 1063627214 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 4301081953 |
| Business Practice Address: | 2200 Fort Jesse Road Ste. 280 Normal, IL - 617616289 |
| Business Phone Number: | 7309452178 |
| Business Fax Number: | 3098621302 |
| Mailing Address: | 2200 Fort Jesse Road, Suite 280 NORMAL |
| State: | IL |
| Postal Code: | 617616289 |
| Phone Number: | 3094521788 |
| Fax Number: | 3098621302 |
| NPI Enumeration Date: | 05/11/2007 |
| NPI Last Update Date: | 02/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 4301081953 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |