Venkataraman, Sanjeev Shanmuga
Venkataraman, Sanjeev Shanmuga is an sole proprietor health care provider with primary practice located at W-4111 Andover Rd Ste 100 , Bloomfield Township MI 48302-1911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Venkataraman, Sanjeev Shanmuga can be contacted via phone (248) 290-5400.Contact Information
Primary practice address
W-4111 Andover Rd Ste 100
Bloomfield Township MI 48302-1911
Phone: (248) 290-5400
Fax: (248) 290-5401
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | SV056477 | Michigan |
Profile Details
NPI number | 1629120282 |
---|---|
LBN Legal business name | Venkataraman, Sanjeev Shanmuga |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 16th, 2007 |
Last updated | Apr 14th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629120282 | NPPES |
Michigan | MEDICAID | 2852180 |
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