Individual
VENKATA R JASTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1525 UNIVERSITY DR, AUBURN HILLS, MI 48326-2673
(586) 484-7159
(248) 385-5771
Mailing address
6720 BIRMINGHAM CLUB DR STE 400, BLOOMFIELD HILLS, MI 48301-3119
(586) 484-7159
(248) 385-5771
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301057306
MI
Other
Enumeration date
06/01/2006
Last updated
12/30/2024
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