Healthcare Provider Details

I. General information

NPI: 1225732993
Provider Name (Legal Business Name): SHEEL VANIAWALA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 S SAGINAW ST
FLINT MI
48502-1803
US

IV. Provider business mailing address

420 S SAGINAW ST
FLINT MI
48502-1803
US

V. Phone/Fax

Practice location:
  • Phone: 810-762-1444
  • Fax:
Mailing address:
  • Phone: 810-762-1444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberV540765005361
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: