Organization Active NPI

Sanjeev Venkataraman, M.D., P.C.

  • Psychiatry Physician
  • Bloomfield Hills, MI
National Provider Identifier
1104015403
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
SV056477 Issued in MI
Legal business name
SANJEEV VENKATARAMAN, M.D., P.C.
Practice address
4111 Andover Rd
Suite 220
Bloomfield Hills, MI 48302-1909
Phone
(248) 290-5400
Fax
(248) 290-5401
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sanjeev Shanmuga Venkataraman, MD
Title
Psychiatrist
Phone
(248) 737-4525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X SV056477 MI Primary

Addresses

Primary practice location

4111 Andover Rd
Suite 220
Bloomfield Hills, MI 48302-1909

Mailing address

4639 Ravine Dr
Bloomfield Hills, MI 48301-3640
Phone (248) 737-4525

National Provider Directory

National Provider Directory

Locations

4111 Andover Rd
Ste 220E
Bloomfield Township, MI 48302
Phone (248) 290-5400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1104015403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4639 RAVINE DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013640",
            "telephone_number": "248-737-4525",
            "fax_number": "248-290-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 ANDOVER RD",
            "address_2": "SUITE 220",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021909",
            "telephone_number": "248-290-5400",
            "fax_number": "248-290-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJEEV VENKATARAMAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "VENKATARAMAN",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_middle_name": "SHANMUGA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "248-737-4525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "SV056477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.