Individual
DR. SANJEEV SHANMUGA VENKATARAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
W-4111 ANDOVER RD STE 125, BLOOMFIELD TOWNSHIP, MI 48302-1931
(248) 737-4525
(248) 290-5401
Mailing address
4639 RAVINE DR, BLOOMFIELD HILLS, MI 48301-3640
(248) 737-4525
(248) 290-5401
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
SV056477
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2852180
—
MI
Enumeration date
01/16/2007
Last updated
02/16/2026
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