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Organization

VINAYA K. GAVINI MDPC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VINAYA KUMAR GAVINI M.D. (PRESIDENT)
(313) 595-8304
Entity
Organization

Contact information

Practice address
8550 N SILVERY LN, SUITE 101, DEARBORN HEIGHTS, MI 48127-4510
(313) 730-7007
(313) 730-7002
Mailing address
8550 N SILVERY LN, SUITE 101, DEARBORN HEIGHTS, MI 48127-4510
(313) 730-7007
(313) 730-7002

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301037182
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2990848
MI
Enumeration date
04/11/2011
Last updated
04/11/2011
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