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1174603930
VICHA JANVIRIYA
SOUTHFIELD, MI
NPI
1174603930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: MI 4301032436)
Enumeration Date
2006-10-16
Last Update Date
2014-07-25
Business Address
Mr. VICHA JANVIRIYA MD
20905 GREENFIELD RD SUITE 603M
SOUTHFIELD, MI 48075-5360
Phone number: 248-268-4464
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Mailing Address
Mr. VICHA JANVIRIYA MD
28750 SAN CARLOS
SOUTHFIELD, MI 48076
Phone number: 248-352-3297
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