NPI Code Details Logo

NPI 1376419259

NPI 1376419259 : AMERICAN VISITING PROVIDERZ PLLC : LIVONIA, MI

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1376419259
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    AMERICAN VISITING PROVIDERZ PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/16/2025
-----------------------------------------------------
    Last Update Date     |    10/16/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    15140 LEVAN RD 
-----------------------------------------------------
    City                 |    LIVONIA
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48154-5027
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    313-615-7441
-----------------------------------------------------
    Fax                  |    734-237-4269
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    15140 LEVAN RD 
-----------------------------------------------------
    City                 |    LIVONIA
-----------------------------------------------------
    State                |    MI
-----------------------------------------------------
    Zip                  |    48154-5027
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    313-615-7441
-----------------------------------------------------
    Fax                  |    734-237-4269
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRACTICE MANAGER
-----------------------------------------------------
    Name                 |     VIVIANE  HRAJLI 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    313-414-8890
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.