Vinaya K. Gavini MDPC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301037182 Issued in MI

Legal business name

VINAYA K. GAVINI MDPC

Practice address

26850 Providence Pkwy
Suite 300
Novi, MI 48374-1213

Phone

(248) 348-4200

Fax

(248) 380-6457

NPI assigned

Apr 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Vinaya Kumar Gavini, M.D.

Title

President

Phone

(313) 595-8304

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Vinaya K Gavini MDPC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vinaya K. Gavini MDPC

  • Pediatrics Physician
  • Dearborn Heights, MI
  • NPI 1740570811
  NPD tax ID

Locations

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1942591359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "SUITE 300",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741213",
            "telephone_number": "248-348-4200",
            "fax_number": "248-380-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY",
            "address_2": "SUITE 300",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741213",
            "telephone_number": "248-348-4200",
            "fax_number": "248-380-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINAYA K. GAVINI MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "GAVINI",
        "authorized_official_first_name": "VINAYA",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-595-8304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301037182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2990848",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Villegas Uriostegui
• Donna Lynn Villeneuve, LPN
• David Villescaz
• Luz Vinas
• Vinay K Malviya MD PC
• Edward Vincent
• Lauren Vinge
• Theresa Vink
• Viora Home Care LLC
• Georgie Viox

• Pediatrics Physician in Novi, MI
• Providers in Novi, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.