Organization
VINAYKMALVIYA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINAY KUMAR MALVIYA MD (OWNER)
(248) 849-8140
Entity
Organization
Contact information
Practice address
22301 FOSTER WINTER DR, 3RD FLOOR, SOUTHFIELD, MI 48075-3707
(248) 849-8140
(248) 849-8108
Mailing address
22301 FOSTER WINTER DR FL 3, SOUTHFIELD, MI 48075-3707
(248) 849-8140
(248) 849-8108
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
4301046543
MI
207VX0201X
Gynecologic Oncology Physician
Primary
4301046543
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0631294
BCBSM
MI
01
—
1184623514
NPI
—
05
—
1184623514
—
MI
Enumeration date
05/06/2008
Last updated
05/26/2011
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