| Sanjeev Venkataraman, Md, Plc | |
|
4111 Andover Rd Ste 220 Bloomfield Hills MI 48302-1909 | |
| (248) 290-5400 | |
| (248) 290-5401 |
| Full Name | Sanjeev Venkataraman, Md, Plc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4111 Andover Rd Ste 220, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Sanjeev Venkataraman (DOCTOR) |
| Authorized Official Contact | 2482905400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjeev Venkataraman, Md, Plc 4111 Andover Rd Ste 220 Bloomfield Hills MI 48302-1909 Ph: (248) 290-5400 | Sanjeev Venkataraman, Md, Plc 4111 Andover Rd Ste 220 Bloomfield Hills MI 48302-1909 Ph: (248) 290-5400 |
| NPI Number | 1447640792 |
|---|---|
| Provider Enumeration Date | 01/26/2015 |
| Last Update Date | 01/26/2015 |
| Medicare PECOS PAC ID | 7416274469 |
|---|---|
| Medicare Enrollment ID | O20150331002662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447640792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | SV056477 (Michigan) | Primary |
| Provider Name | Sanjeev S Venkataraman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629120282 PECOS PAC ID: 3779599436 Enrollment ID: I20060321000007 |
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