person
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.

Location: 20905 Greenfield Rd, Southfield, MI, 48076
person
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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