Moudgal, Varsha Vivek
Moudgal, Varsha Vivek is an individual health care provider with primary practice located at 5333 Mcauley Dr Ste 6109, Ypsilanti MI 48197-0000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Moudgal, Varsha Vivek can be contacted via phone (734) 712-8600.Contact Information
Primary practice address
5333 Mcauley Dr Ste 6109
Ypsilanti MI 48197-0000
Phone: (734) 712-8600
Fax: (734) 712-8636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | VM071985 | Michigan |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 4301071985 | Michigan |
Profile Details
| NPI number | 1700823291 |
|---|---|
| LBN Legal business name | Moudgal, Varsha Vivek |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Sep 26th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700823291 | NPPES |
| Michigan | MEDICAID | 4895454-10 |
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