Individual
VENUMADHAVI GOGINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22301 FOSTER WINTER DR, SOUTHFIELD, MI 48075-3707
(248) 849-3541
Mailing address
22301 FOSTER WINTER DR, SOUTHFIELD, MI 48075-3707
(248) 849-3541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301510095
MI
207RH0003X
Hematology & Oncology Physician
Primary
4301510095
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351046138
MI
Other
Enumeration date
06/23/2020
Last updated
06/13/2024
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