Gavini, Vijaya Lakshmi

Gavini, Vijaya Lakshmi is an individual health care provider with primary practice located at 26850 Providence Pkwy 402, Novi MI 48374-1213. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gavini, Vijaya Lakshmi can be contacted via phone (248) 465-4350.

Contact Information

Primary practice address
26850 Providence Pkwy 402 Novi MI 48374-1213
Phone: (248) 465-4350
Fax: (248) 465-5693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301038458 Michigan

Profile Details

NPI number 1134124720
LBN Legal business name Gavini, Vijaya Lakshmi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Feb 14th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134124720 NPPES
Michigan MEDICAID 325412210

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