| Venkata Ramana Jasty | |
|
1525 University Dr Auburn Hills MI 48326-2675 | |
| (586) 484-7159 | |
| (248) 851-3074 |
| Full Name | Venkata Ramana Jasty |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1525 University Dr, Auburn Hills, Michigan |
| Authorized Official Name and Position | Venkata Ramana Jasty (PSYCHIATRIST) |
| Authorized Official Contact | 5864847159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Venkata Ramana Jasty 6720 Birmingham Club Dr Bloomfield Hills MI 48301-3119 Ph: (586) 484-7159 | Venkata Ramana Jasty 1525 University Dr Auburn Hills MI 48326-2675 Ph: (586) 484-7159 |
| NPI Number | 1780746602 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/18/2024 |
| Medicare PECOS PAC ID | 4284605874 |
|---|---|
| Medicare Enrollment ID | O20040805000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780746602 | NPI | - | NPPES |
| 4909747 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 4301057306 (Michigan) | Primary |
| Provider Name | Venkata R Jasty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184661670 PECOS PAC ID: 6608861844 Enrollment ID: I20040417000267 |
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