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 1:240 NW 25TH ST APT 730
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127-4356
Mailing Address - Country:US
Mailing Address - Phone:954-361-4046
Mailing Address - Fax:
Practice Address - Street 1:1 CAUSEWAY BLVD
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-8561
Practice Address - Country:US
Practice Address - Phone:305-558-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-12
Last Update Date:2025-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372600000X
FLME142367202D00000X, 207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
Yes372600000XNursing Service Related ProvidersAdult Companion
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine