Individual
HEMA VENKAT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18101 OAKWOOD BLVD, OAKWOOD HOSPITAL MEDICAL CENTER, DEARBORN, MI 48124
(313) 593-7965
(313) 593-7143
Mailing address
PO BOX 32615, DETROIT, MI 48232-0615
(313) 593-7965
(313) 593-7143
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
040075
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821555
—
MI
Enumeration date
03/10/2006
Last updated
07/08/2007
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