Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 4301046543 | MI |
NPI | 1184623514 |
---|---|
Provider Name | Vinay Kumar Malviya |
First Address | Southfield, MI 48034-7660 |
Second Address | Southfield, MI 48034-7660 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 19/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
410723910 | (05) | MI |
B46398 | (02) | MI |