V Geravipoolvorn MD PC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

4301031947 Issued in MI

Legal business name

V GERAVIPOOLVORN MD PC

Practice address

28345 Utica Rd
Roseville, MI 48066-2566

Phone

(586) 772-8158

Fax

(586) 772-8501

NPI assigned

May 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Voravit Geravipoolvorn, MD

Title

President

Phone

(586) 772-8158

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1275790156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28345 UTICA RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662566",
            "telephone_number": "586-772-8158",
            "fax_number": "586-772-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28345 UTICA RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662566",
            "telephone_number": "586-772-8158",
            "fax_number": "586-772-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V GERAVIPOOLVORN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "GERAVIPOOLVORN",
        "authorized_official_first_name": "VORAVIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-772-8158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "4301031947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rheumatology Physician in Roseville, MI
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• Rheumatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.