Janviriya, Vicha

Janviriya, Vicha is an individual health care provider with primary practice located at 20905 Greenfield Rd Suite 603M, Southfield MI 48075-5360. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Janviriya, Vicha can be contacted via phone (248) 268-4464.

Contact Information

Primary practice address
20905 Greenfield Rd Suite 603M Southfield MI 48075-5360
Phone: (248) 268-4464
Fax: (248) 268-4465
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301032436 Michigan

Profile Details

NPI number 1174603930
LBN Legal business name Janviriya, Vicha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 25th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174603930 NPPES
Michigan MEDICAID 2091256

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