Active NPI
Vinaykmalviya MD PC
- Gynecologic Oncology Physician
- Southfield, MI
National Provider Identifier
1821264227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 4301046543
- Legal business name
- VINAYKMALVIYA MD PC
- Practice address
- 22301 Foster Winter Dr
3Rd Floor
Southfield, MI 48075-3707 - Phone
- (248) 849-8140
- Fax
- (248) 849-8108
- NPI assigned
- May 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vinay Kumar Malviya, MD
- Title
- Owner
- Phone
- (248) 849-8140
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 4301046543 | MI | |
| Gynecologic Oncology Physician | 207VX0201X | 4301046543 | MI | Primary |
Addresses
Primary practice location
22301 Foster Winter Dr
3Rd Floor
Southfield, MI 48075-3707
Mailing address
22301 Foster Winter Dr FL 3
Southfield, MI 48075-3707
Phone (248) 849-8140
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0631294 | Other | MI | BCBSM |
| 1184623514 | Medicaid | MI | |
| 1184623514 | Other | NPI |
National Provider Directory
National Provider DirectoryLocations
22301 Foster Winter Dr
Fl 3
Southfield, MI 48075
Phone (248) 849-8140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306368000000",
"number": "1821264227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22301 FOSTER WINTER DR FL 3",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753707",
"telephone_number": "248-849-8140",
"fax_number": "248-849-8108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22301 FOSTER WINTER DR",
"address_2": "3RD FLOOR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753707",
"telephone_number": "248-849-8140",
"fax_number": "248-849-8108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINAYKMALVIYA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-06",
"last_updated": "2011-05-26",
"status": "A",
"authorized_official_last_name": "MALVIYA",
"authorized_official_first_name": "VINAY",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-849-8140",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MI",
"license": "4301046543",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "MI",
"license": "4301046543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0631294",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184623514",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1184623514",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.