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Individual

NITIN VENKATESH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(651) 767-2078
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(651) 767-2078

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4351054532
MI
208600000X
Surgery Physician
4351054532
MI

Other

Enumeration date
05/07/2025
Last updated
04/27/2026
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