Individual
DR. VENKATA CHALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15101 SOUTHFIELD ROAD, ALLEN PARK, MI 48101
(313) 386-3996
(313) 386-5054
Mailing address
15101 SOUTHFIELD ROAD, ALLEN PARK, MI 48101
(313) 386-3996
(313) 386-5054
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301031397
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104790677
—
MI
Enumeration date
07/11/2006
Last updated
07/24/2008
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