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Mr. Vicha Janviriya, MD
General Practice Physician in Southfield, Michigan
NPI 1174603930

Vicha Janviriya is a General Practice Physician based in Southfield, MI. Vicha Janviriya practices in Southfield, MI and has the professional credentials of MD. The NPI Number for Vicha Janviriya is 1174603930 and holds a License No. 4301032436 (Michigan).

The current practice location address for Vicha Janviriya is 20905 Greenfield Rd, Southfield, MI and can be reached out via phone at 248-268-4464 and via fax at 248-268-4465. You can also correspond with Vicha Janviriya through the mailing address at 28750 SAN CARLOS, SOUTHFIELD, MI - 48076 (mailing address contact number: 248-352-3297).

Location: 20905 Greenfield Rd, Southfield, MI, 48076
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Provider Profile Details
NPI Number
1174603930
Provider Name
Vicha Janviriya
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
20905 Greenfield Rd, Southfield, MI, 48076
Phone Number
248-268-4464
Fax Number
248-268-4465
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2091256 05 MI
institution
Provider Business Practice Location Address Details
Address
20905 Greenfield Rd
City
State
Zip
48075-5360
Phone Number
248-268-4464
Fax Number
248-268-4465
person
Provider Business Mailing Address Details
Address
20905 Greenfield Rd
City
State
Zip
48075-5360
Phone Number
248-268-4464
Fax Number
248-268-4465
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
4301032436 (Michigan)
Definition
Definition to come...
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