Basic Information
Provider Information
NPI: 1821421280
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALYAHYA
FirstName: WAYEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: CARILION CLINIC
Address2: 2900 TYLER RD
City: CHRISTIANBURG
State: VA
PostalCode: 24073
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2900 TYLER RD
Address2:  
City: CHRISTIANSBURG
State: VA
PostalCode: 240736374
CountryCode: US
TelephoneNumber: 5407317314
FaxNumber: 5407317377
Other Information
ProviderEnumerationDate: 08/20/2013
LastUpdateDate: 12/10/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/10/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X0101264402VAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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