Vinayata Manuballa D.O.

NPI 1003128695 - Internal Medicine - 207R00000X

NPI Details
NPI 1003128695
Gender Female
Enumeration Date 07/12/2010
Last Updated 08/26/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
3601 W 13 MILE RD
ROYAL OAK MI, 48073-6712, US
Phone (248) 551-3000
Fax
Business Location
3601 W 13 MILE RD
ROYAL OAK MI, 48073-6712, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 5101018627
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According to our database, Vinayata Manuballa D.O. NPI is 1003128695, taxonomy code is 207R00000X and license number is 5101018627, license state is located at Michigan. Vinayata Manuballa D.O. physically located at 3601 W 13 Mile Rd, Royal Oak MI, 48073-6712. NPI Number Vinayata Manuballa D.O. has the Individual type.

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1003128695 NPI number is provided on an as is basis without warranty of any kind. 1003128695 is maintained by the National Plan & Provider Enumeration System. The contents of Vinayata Manuballa D.O. are for informational purposes only.