Venkateswara Rao Malineni, MD | |
215 North Ave, St Joseph Specialty Hospital 215, Mt Clemens, MI 48045 | |
(586) 466-9889 | |
(586) 466-9972 |
Full Name | Venkateswara Rao Malineni |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 215 North Ave, Mt Clemens, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265467682 | NPI | - | NPPES |
296306310 | Medicaid | MI | |
2606320151 | Other | MI | BC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 283787-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Venkateswara Rao Malineni, MD 5341 Provincial Dr, Bloomfield Hills, MI 48302 Ph: (888) 495-3999 | Venkateswara Rao Malineni, MD 215 North Ave, St Joseph Specialty Hospital 215, Mt Clemens, MI 48045 Ph: (586) 466-9889 |