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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174603930 | NPPES |
| Michigan | MEDICAID | 2091256 |
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