Individual
DR. DEEPAK VENKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.093025
OH
207RG0100X
Gastroenterology Physician
Primary
4301095946
MI
Other
Enumeration date
04/17/2007
Last updated
10/19/2023
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