Rudraraju, Venkat Chinna

Rudraraju, Venkat Chinna is an individual health care provider with primary practice located at 840 Oakwood Blvd , Dearborn MI 48124-2319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Rudraraju, Venkat Chinna can be contacted via phone (313) 359-7600.

Contact Information

Primary practice address
840 Oakwood Blvd Dearborn MI 48124-2319
Phone: (313) 359-7600
Fax: (313) 359-7678
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301067927 Michigan
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 4301067927 Michigan

Profile Details

NPI number 1770513137
LBN Legal business name Rudraraju, Venkat Chinna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jan 30th, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770513137 NPPES
Michigan MEDICAID 4406149
Michigan Other 300132548

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