Venkatram, Malini
Venkatram, Malini is an individual health care provider with primary practice located at 4160 John R St Ste 917, Detroit MI 48201-2020. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Venkatram, Malini can be contacted via phone (313) 745-4525.Contact Information
Primary practice address
4160 John R St Ste 917
Detroit MI 48201-2020
Phone: (313) 745-4525
Fax: (313) 745-0011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301085459 | Michigan |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 4301085459 | Michigan |
Profile Details
| NPI number | 1467639948 |
|---|---|
| LBN Legal business name | Venkatram, Malini |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2008 |
| Last updated | Nov 8th, 2013 - about 11 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467639948 | NPPES |
| Michigan | Other | 1346398971 | GRP NPI |
| Michigan | Other | 11-0F3636-0 | GRP NPI |
| Michigan | Other | 205485614 | GRP NPI |
| Michigan | MEDICAID | 5357970 | GRP NPI |
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