DR. VINAYA KUMAR GAVINI (NPI# 1902879448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902879448 |
| Entity Type | Individual |
| Full Name | DR. VINAYA KUMAR GAVINI |
| Credential | M.D. |
| Practice Address |
26850 Providence Pkwy Suite 300 Novi MI 48374-1213 |
| Practice Telephone | 2483484200 |
| Practice Fax Number | 3137307007 |
| Mailing Telephone | 2483484200 |
| Mailing Fax Number | 3137307007 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2016-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
4301037182 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2990848 | 05 |
| Street Address |
26850 PROVIDENCE PKWY SUITE 300 |
| City | NOVI |
| State | MI |
| Zip Code | 48374-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354953 | Lara Azzi | Pediatrics | 26850 Providence Pkwy, Suite 455, Novi, MI 48374-1213 | 2005-05-27 |
| 1578096483 | Jordyn Havens | Counselor | 26850 Providence Pkwy, Ste 410, Novi, MI 48374-1213 | 2017-04-07 |
| 1740723659 | Carmela Wilder | Social Worker | 26850 Providence Pkwy, Suite 205, Novi, MI 48374-1213 | 2016-11-24 |
| 1518413210 | Adam Mcclafferty | Physical Therapist | 26850 Providence Pkwy, Suite 365, Novi, MI 48374-1213 | 2016-09-01 |
| 1336591973 | Jessica Wentworth | Nurse Practitioner | 26850 Providence Pkwy, Novi, MI 48374-1213 | 2016-07-07 |
| 1407233745 | Kha H. Ngo, D.o., P.l.l.c. | Internal Medicine | 26850 Providence Pkwy, Ste 350, Novi, MI 48374-1213 | 2015-05-06 |
| 1629455423 | Serge A. Sorser, M.d., P.l.l.c. | Internal Medicine | 26850 Providence Pkwy, Suite 350, Novi, MI 48374-1213 | 2015-04-30 |
| 1487052619 | Providence Park Internal Medicine PC | Internal Medicine | 26850 Providence Pkwy, Suite 450, Novi, MI 48374-1213 | 2014-12-22 |
| 1598161564 | Paul James Constantino | Podiatrist | 26850 Providence Pkwy, Suite 502, Novi, MI 48374-1213 | 2014-11-18 |
| 1306269436 | Northwest Eye Physicians, P.C. | Eyewear Supplier (Equipment, not the service) | 26850 Providence Pkwy, Suite 440, Novi, MI 48374-1213 | 2014-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902323884 | Jhansi Navuluri | Physical Therapist | 27579 Etrada Lane, Novi, MI 48374 | 2017-08-23 |
| 1609306422 | James Vanderhaeghen | Foster Care Agency | 24375 Homestead Ct, Novi, MI 48374 | 2017-06-14 |
| 1558810622 | Iryna Chaykivska | Nurse Anesthetist, Certified Registered | 47601 Grand River Avenue, Novi, MI 48374 | 2016-09-29 |
| 1477937944 | Joseph Smola | Chiropractor | 48000 Grand River Ave, Novi, MI 48374 | 2015-07-15 |
| 1881005114 | Alpha Medical Services PC | Internal Medicine | 26131, Sunbury Ct, Novi, MI 48374 | 2014-05-08 |
| 1043565443 | Jason J Rizqallah | Surgery | 47601 Grand River Ave # B136, Novi, MI 48374 | 2012-07-21 |
| 1780992628 | Khyati Patel | Internal Medicine | 26850 Providence Pkwy Ste 420, Novi, MI 48374 | 2010-09-14 |
| 1891963799 | Luann Marie Redmond | Social Worker | 50598 Montana, Novi, MI 48374 | 2008-02-13 |
| 1427249424 | Ajay V Raman | Anesthesiology | 24875 Novi Road #454, Novi, MI 48374 | 2007-08-05 |
| 1003948233 | Sam's Club Optical | Technician/Technologist | 27300 Wixon Road, Novi, MI 48374 | 2007-03-12 |
| Find all providers in zip 48374 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431696 | Colleen Larose Miele | Pediatrics | 47601 Grand River Ave, B233, Novi, MI 48374-1233 | 2005-07-19 |
| 1013061951 | Child Health Associates, P.C. | Pediatrics | 25500 Meadowbrook, Ste. 190, Novi, MI 48375-1882 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265921191 | Gogue Pediatrics, P.C. | Pediatrics | 39242 Dequindre Rd Ste 101, Sterling Heights, MI 48310-1764 | 2018-05-07 |
| 1073010625 | Vernor Pediatric PC | Pediatrics | 4607 W Vernor Hwy, Detroit, MI 48209-2117 | 2018-04-10 |
| 1801257738 | Alshefa Family Practice Pllc | Pediatrics | 28780 Ryan Rd, Suite B, Warren, MI 48092-2521 | 2016-03-20 |
| 1497130132 | Branch Pediatric&adolescent Medicinepc | Pediatrics | 360 E Chicago St Ste 101, Coldwater, MI 49036-2086 | 2015-07-23 |
| 1700277977 | Spectrum Health United | Pediatrics | 318 S Bridge St, Belding, MI 48809-1764 | 2015-02-10 |
| 1477943900 | Pediatric & Adolescent Clinic of Michigan | Pediatrics | 37375 Curtis Rd, Livonia, MI 48152-4090 | 2015-02-04 |
| 1316360043 | William Waters | Pediatrics | 981 Townline Rd, Charlevoix, MI 49720-8970 | 2014-01-31 |
| 1114348596 | Southwest Pediatrics Pllc | Pediatrics | 37672 Professional Center Dr Ste 120, Livonia, MI 48154-1140 | 2014-01-02 |
| 1467889386 | Community Health Center of Branch County | Pediatrics | 450 E Grant St, Bronson, MI 49028-1524 | 2013-10-09 |
| 1851687107 | Community Health Center of Branch County | Pediatrics | 18 Colfax St, Quincy, MI 49082-1139 | 2011-06-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.