Physician Compare National (NPI:1467639948)

HEALTHCARE PROVIDER: MALINI VENKATRAM MD .

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1467639948
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143396838
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080903000512
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VENKATRAM
	Individual professional last name
Provider First Name	MALINI
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	RHEUMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1623 FORD AVE
	Group Practice or individual's line 1 address
City	WYANDOTTE
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	481922303
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	230146
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HENRY FORD WYANDOTTE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	230099
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PROMEDICA MONROE REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	230020
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BEAUMONT HOSPITAL - DEARBORN
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	230053
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	HENRY FORD HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	230176
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	BEAUMONT HOSPITAL - TRENTON
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1467639948)

HEALTHCARE PROVIDER: MALINI VENKATRAM MD .

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information