Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pooja Shah Vyas, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1306342159

Pooja Shah Vyas, MD is an Obstetrics & Gynecology Physician in Bronx, New York. Works from 3 locations. Licensed in Illinois and New York.

Licensed in
IL, NY
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 430-3047
Fax: (718) 430-8774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 155 N Fresno St, Fresno, CA 93701-2302 — (559) 499-6400
  • 5841 S Maryland Ave, Chicago, IL 60637-1443 — (773) 834-0598

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 316711 (NY)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 125.074781 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306342159
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022
Mailing address180 Harvester Dr Ste 100, Burr Ridge, IL 60527-7594

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