Individual
ANI GVAJAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
1695 E 21ST ST APT E3, BROOKLYN, NY 11210-5026
(929) 428-9272
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4351054747
MI
Other
Enumeration date
09/12/2022
Last updated
10/07/2025
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