Individual
DR. VINAYA KUMAR GAVINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26850 PROVIDENCE PKWY, SUITE 300, NOVI, MI 48374-1213
(248) 348-4200
(313) 730-7007
Mailing address
26850 PROVIDENCE PKWY, SUITE 300, NOVI, MI 48374-1213
(248) 348-4200
(313) 730-7007
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301037182
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2990848
—
MI
Enumeration date
02/07/2006
Last updated
05/31/2016
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