| Dr Doraisamy Venkitapathy, MD | |
|
805 W Cedar St, Standish, MI 48658-9526 | |
| (989) 846-3401 | |
| (989) 846-3541 |
| Full Name | Dr Doraisamy Venkitapathy |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 805 W Cedar St, Standish, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922132539 | NPI | - | NPPES |
| 3183684 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301060380 (Michigan) | Primary |
| Entity Name | Mymichigan Medical Center Standish |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659465094 PECOS PAC ID: 0840362224 Enrollment ID: O20120114000064 |
| Entity Name | Degara App Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912687328 PECOS PAC ID: 6608056171 Enrollment ID: O20230815000906 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Doraisamy Venkitapathy, MD 10 Sawmill Creek Trl, Saginaw, MI 48603-8626 Ph: (989) 846-4521 | Dr Doraisamy Venkitapathy, MD 805 W Cedar St, Standish, MI 48658-9526 Ph: (989) 846-3401 |
Dr. Rasheed Siddiqui, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 W Cedar St, Standish, MI 48658 Phone: 989-846-4521 Fax: 989-846-3541 | |
Dr. Muhammed Rashid Mirza, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 W Cedar St, Standish, MI 48658 Phone: 989-846-3555 Fax: 989-846-3546 | |
Dr. Ibrahim S Shamieh, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 805 West Cedar Street, Standish, MI 48658 Phone: 989-846-3500 Fax: 989-846-3462 | |
Caitlin Brandsdorfer, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 W Cedar St, Standish, MI 48658 Phone: 989-846-4521 |