| Malini Venkatram, MD | |
|
4160 John R St, Ste 917, Detroit, MI 48201-2020 | |
| (313) 745-4525 | |
| (313) 745-0011 |
| Full Name | Malini Venkatram |
|---|---|
| Gender | Female |
| Speciality | Rheumatology |
| Experience | 27 Years |
| Location | 4160 John R St, Detroit, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467639948 | NPI | - | NPPES |
| 1346398971 | Other | MI | GRP NPI |
| 11-0F3636-0 | Other | MI | BCBSM GRP PIN |
| 205485614 | Other | MI | TAX ID |
| 5357970 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301085459 (Michigan) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | 4301085459 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Midmichigan Medical Center-clare | Clare, MI | Hospital |
| Midmichigan Medical Center - Alpena | Alpena, MI | Hospital |
| Midmichigan Medical Center-midland | Midland, MI | Hospital |
| Midmichigan Medical Center-gladwin | Gladwin, MI | Hospital |
| Midmichigan Medical Center-west Branch | West branch, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mymichigan Medical Center Alma | 3375451404 | 94 |
| Entity Name | Mymichigan Medical Center Alma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568914422 PECOS PAC ID: 3375451404 Enrollment ID: O20040202000975 |
| Entity Name | Mymichigan Medical Center Midland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205889490 PECOS PAC ID: 2264323633 Enrollment ID: O20040324000137 |
| Mailing Address | Practice Location Address |
|---|---|
| Malini Venkatram, MD 1420 Stephenson Hwy, Suite 400-credentialing, Troy, MI 48083-1189 Ph: (248) 581-5972 | Malini Venkatram, MD 4160 John R St, Ste 917, Detroit, MI 48201-2020 Ph: (313) 745-4525 |
Dr. Saba Alan Francis, M.D. Rheumatology Medicare: Medicare Enrolled Practice Location: 50 E Canfield St, Detroit, MI 48201 Phone: 313-745-4525 | |
Dr. Roopkiranjot Kahlon, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 4201 Saint Antoine St, University Health Center 2e, Detroit, MI 48201 Phone: 313-745-4525 | |
Avi Cohen, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Waleed Obaid, M.D Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3250 | |
Lindsey Aurora, Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Alexander Garbarino, Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Maria Diab, Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 Fax: 313-876-1305 |