Individual
SRIRAM VENNETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
4301106328
MI
207ZP0101X
Anatomic Pathology Physician
Primary
4301106328
MI
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MT190237
PA
Other
Enumeration date
07/05/2007
Last updated
10/22/2019
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