Individual
DR. DORAISAMY VENKITAPATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
805 W CEDAR ST, STANDISH, MI 48658-9526
(989) 846-3401
(989) 846-3541
Mailing address
10 SAWMILL CREEK TRL, SAGINAW, MI 48603-8626
(989) 846-4521
(989) 846-3541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301060380
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3183684
—
MI
Enumeration date
03/15/2007
Last updated
07/08/2007
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