Divya Gopalan Venkat (NPI# 1356653489, PAC ID# 2466634472) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1356653489 |
| PAC ID by PECOS | 2466634472 |
| Professional Enrollment ID | I20160628002562 |
| Full Name | Divya Gopalan Venkat |
| Organization Legal Name | ONEILL GREENBERGER WU DUNN AND FIELDS PLLC |
| Address |
25631 Little Mack Ave Saint Clair Shores MI 48081-2108 |
| Phone Number | 5867743090 |
| Gender | F |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 8729371570 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| Address | Phone | Organization |
|---|---|---|
| 26657 Woodward Ave, Huntington Woods, MI 48070-1300 | 2485482114 | ONEILL GREENBERGER WU DUNN AND FIELDS PLLC |
| 26657 Woodward Ave, Suite 100, Huntington Woods, MI 48070-1300 | 2485482114 | ONEILL GREENBERGER WU DUNN AND FIELDS PLLC |
| 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 | 2485513000 | WILLIAM BEAUMONT HOSPITAL |
| 25631 Little Mack Ave, Saint Clair Shores, MI 48081-2108 | 5867743090 | ONEILL GREENBERGER WU DUNN AND FIELDS PLLC |
| 25631 Little Mack Ave, Suite 202, Saint Clair Shores, MI 48081-2108 | 5867743090 | ONEILL GREENBERGER WU DUNN AND FIELDS PLLC |
| Organization Legal Name | ONEILL GREENBERGER WU DUNN AND FIELDS PLLC |
| Physicians | 1 |
| Street Address |
25631 LITTLE MACK AVE |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip | 48081-2108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel T Fishbain | Infectious Disease | Beaumont Medical Group Hospital Based Services | 25631 Little Mack Ave, Suite 205, Saint Clair Shores, MI 48081-2108 |
| Nicholas E Gilpin | Infectious Disease | Beaumont Medical Group Hospital Based Services | 25631 Little Mack Ave, Suite 205, Saint Clair Shores, MI 48081-2108 |
| Leo P Stephens | Orthopedic Surgery | 25631 Little Mack Ave, Suite 202, Saint Clair Shores, MI 48081-2108 | |
| Barbara Krauss | Family Practice | Saint Clair Shores Prompt Care Pllc | 25631 Little Mack Ave, Suite 104, Saint Clair Shores, MI 48081-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Xavier Burgoyne | Family Medicine | Ascension St John Hospital | 19901 E 10 Mile Rd, Harper Family Practice, St Clair Shores, MI 48081-1069 |
| Anthony Gerald Paniccia | Family Medicine | Ascension St John Hospital | 19901 E 10 Mile Rd, Harper Family Practice, St Clair Shores, MI 48081-1069 |
| Neil Thomas Shaw | Podiatry | Anthony V Benenati Dpm PC | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 |
| James R Hrynik | Certified Registered Nurse Anesthetist (crna) | Ascension St John Hospital | 21000 E 12 Mile Rd, St Clair Shores, MI 48081-1116 |
| Douglas C Kubek | Otolaryngology | Ascension St John Hospital | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Wafa Barkho | Family Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Ronald D Hertz | Internal Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Brigitte M Ngoyi | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| John Woo Lee | Pulmonary Disease | Pulmonary and Critical Care Associates PC | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1156 |
| Regina R Frost | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| Find all physicians in zip 48081 | |||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | SAINT CLAIR SHORES + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Divya Gopalan Venkat.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.