Vicha Janviriya MDPC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301032436 Issued in MI

Legal business name

VICHA JANVIRIYA MDPC

Practice address

28750 San Carlos St
Southfield, MI 48076-2373

Phone

(313) 368-1600

NPI assigned

Jun 10, 2009

Last updated

Jun 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vicha Janviriya, MD

Title

Owner

Phone

(313) 368-1600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1659507143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28750 SAN CARLOS ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762373",
            "telephone_number": "313-368-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28750 SAN CARLOS ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762373",
            "telephone_number": "313-368-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICHA JANVIRIYA MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "JANVIRIYA",
        "authorized_official_first_name": "VICHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-368-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301032436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102091256",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• VHS Physicians of Michigan (DMC Medical Group)
• VHS Physicians of Michigan
• Vibrant Health DPC PLLC
• Vibrus Group, LLC
• Bianca Vicario-Garcia
• Dariana Vickerman
• Rebecca Vickers, LLMSW
• Victory Medical Supply
• Conner Victory
• Vijay Walvekar Central Home Rehabilitation Services (Central Home Rehabilitation Services)

• Internal Medicine Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.