Chalam, Venkata
Chalam, Venkata is an individual health care provider with primary practice located at 15101 Southfield Road , Allen Park MI 48101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Chalam, Venkata can be contacted via phone (313) 386-3996.Contact Information
Primary practice address
15101 Southfield Road
Allen Park MI 48101
Phone: (313) 386-3996
Fax: (313) 386-5054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301031397 | Michigan |
Profile Details
| NPI number | 1720012974 |
|---|---|
| LBN Legal business name | Chalam, Venkata |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 24th, 2008 - about 18 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 | 1720012974 | NPPES |
| Michigan | MEDICAID | 104790677 |
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