Individual
DR. VENKATA R LINGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30901 PALMER RD, WESTLAND, MI 48186-9529
(734) 367-8444
(734) 722-9524
Mailing address
30901 PALMER RD, WESTLAND, MI 48186-9529
(734) 367-8444
(734) 722-9524
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301049967
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508883299
WRPH
MI
01
—
260Q26259
BCBSM GR#
MI
05
—
4867244
—
MI
01
—
VL049967
LICENSE
MI
Enumeration date
07/18/2006
Last updated
07/08/2007
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