DIVYA GOPALAN VENKAT

DETROIT, MI
NPI1356653489
Former NameDIVYA VEDA GOPALAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: MI  4301109156)
Additional Taxonomies207RC0200X Internal Medicine, Critical Care Medicine
(Licence: MI  4301109156)
Enumeration Date2010-07-06
Last Update Date2019-05-16
Business Address
DIVYA GOPALAN VENKAT M.D.
4646 JOHN R ST
DETROIT, MI 48201
Phone number: 313-576-1000
Mailing Address
DIVYA GOPALAN VENKAT M.D.
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000