MALINI VENKATRAM (NPI# 1467639948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467639948 |
| Entity Type | Individual |
| Full Name | MALINI VENKATRAM |
| Credential | MD . |
| Practice Address |
4160 John R St Ste 917 Detroit MI 48201-2020 |
| Mailing Address |
1420 Stephenson Hwy Suite 400-credentialing Troy MI 48083-1189 |
| Practice Telephone | 3137454525 |
| Practice Fax Number | 3137450011 |
| Mailing Telephone | 2485815972 |
| Mailing Fax Number | 2485815640 |
| Enumeration Date | 2008-01-27 |
| Last Update Date | 2013-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301085459 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
4301085459 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5357970 | 05 | |
| MI | GRP NPI | 1346398971 | 01 |
| MI | BCBSM GRP PIN | 11-0F3636-0 | 01 |
| MI | TAX ID | 205485614 | 01 |
| Street Address |
4160 JOHN R ST STE 917 |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508864240 | Uma D Gorrepati | Internal Medicine | 4160 John R St, Suite 730, Detroit, MI 48201-2020 | 2005-07-07 |
| 1306466826 | Joseph Trak | Student in an Organized Health Care Education/Training Program | 4160 John R St, Suite 615, Detroit, MI 48201 | 2020-04-24 |
| 1437717097 | Fauzia Zubair Arain | Student in an Organized Health Care Education/Training Program | 4160 John R St, Detroit, MI 48201-2020 | 2019-05-30 |
| 1821520495 | Yang Liu | Student in an Organized Health Care Education/Training Program | 4160 John R St, Suite 615, Detroit, MI 48201-2020 | 2017-04-01 |
| 1053859256 | Karin Calviti | Audiologist | 4160 John R St, Detroit, MI 48201-2020 | 2017-02-07 |
| 1932551348 | Ayman Abulawi | Student in an Organized Health Care Education/Training Program | 4160 John R St, Suite 510, Detroit, MI 48201-2020 | 2016-07-09 |
| 1407204027 | Amir Laktineh | Student in an Organized Health Care Education/Training Program | 4160 John R St, 510, Detroit, MI 48201-2020 | 2016-05-25 |
| 1801243548 | Mohannad Alhasani | Internal Medicine | 4160 John R St, Suite 510, Detroit, MI 48201-2020 | 2016-05-23 |
| 1073976353 | Catherine Peterson | Student in an Organized Health Care Education/Training Program | 4160 John R St, Suite 930, Detroit, MI 48201-2020 | 2016-04-03 |
| 1598128902 | Aubrey Brian Allen | Student in an Organized Health Care Education/Training Program | 4160 John R St, 1021, Detroit, MI 48201-2020 | 2016-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982738290 | University Internal Medicine Specialists | Internal Medicine | 4160 John R., Suite 917, Detroit, MI 48201 | 2007-03-16 |
| 1649690710 | Sufiya Shaik Hussain | Internal Medicine | 3031 W Grand Blvd, Detroit, MI 48202-3046 | 2014-04-16 |
| 1629146170 | Michael R. Lubetsky | Internal Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-01 |
| 1922176460 | Donard G. Haggins | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2006-12-01 |
| 1477561330 | Angelia Bankston Mosley-williams | Internal Medicine | 4646 John R St, (11m), Detroit, MI 48201-1916 | 2006-08-04 |
| 1306883814 | Vanika Lath | Internal Medicine | 22341 W 8 Mile Rd, Ste 201, Detroit, MI 48219-1217 | 2006-06-01 |
| 1609830397 | Bernard R Rubin | Internal Medicine | 3031 W Grand Blvd, Rheumatology - Nco 8, Detroit, MI 48202-3046 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538655469 | American Arthritis & Rheumatology Associates Mi Pllc | Internal Medicine | 1669 Hamilton Rd Ste 200, Okemos, MI 48864-1961 | 2018-07-03 |
| 1033413661 | Rheumatology PC | Internal Medicine | 360 E Chicago St Ste 111, Coldwater, MI 49036-2086 | 2010-12-22 |
| 1295036507 | Arden Gene Alexander | Internal Medicine | 79 Watershore Dr, Muskegon, MI 49444-7746 | 2010-11-03 |
| 1467763201 | Nina Ramessar | Internal Medicine | 3950 Hollywood Rd Ste 288, Saint Joseph, MI 49085-9159 | 2010-06-26 |
| 1407084064 | Davi Ponte De Sa Leitao | Internal Medicine | 2889 S 11th St, Kalamazoo, MI 49009-2123 | 2009-06-22 |
| 1275790156 | V Geravipoolvorn Md PC | Internal Medicine | 28345 Utica Rd, Roseville, MI 48066-2566 | 2008-05-19 |
| 1285800268 | Dianne Kay Trudell, Md | Internal Medicine | 5085 W Bristol Rd, Flint, MI 48507-2922 | 2008-04-30 |
| 1295901288 | Jolanta Sobotka-czarnecki Md Pllc | Internal Medicine | G-5085 West Bristol Rd., Flint, MI 48507-2922 | 2008-04-30 |
| 1144411299 | David K. Vallance, M.d., P.C. | Internal Medicine | 3055 Plymouth Rd Ste 102, Ann Arbor, MI 48105-3208 | 2007-08-05 |
| 1518178813 | Lakshmi Kocharla | Internal Medicine | 5800 Foremost Dr Se Ste 202, Grand Rapids, MI 49546-7062 | 2007-05-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.