SearchMichigan183500000X

Vani Gumudavelly

NPI 1396027728 · on the registry since 2011

Practice

Address
17001 Newburgh Rd
Livonia, MI 48154
Phone
(734) 462-1707
Fax
(734) 462-2427
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-09-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan