Individual provider · Type 1 NPI

Ani Gvajaia

Hematology & Oncology Physician · Detroit, MI

NPI number 1558082198 Active

Practice location

22101 Moross Rd
Detroit, MI 48236-2148

Mailing address

1695 E 21st St Apt E3
Brooklyn, NY 11210-5026

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X4351054747 (MI)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1558082198

Ani Gvajaia's National Provider Identifier is 1558082198, issued on Sep 12, 2022. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Detroit, MI. The record was last updated on Oct 7, 2025.