Moudgil, Shyam Sunder

Moudgil, Shyam Sunder is an individual health care provider with primary practice located at 25195 Kelly Rd Suite B, Roseville MI 48066-4909. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Moudgil, Shyam Sunder can be contacted via phone (586) 777-3370.

Contact Information

Primary practice address
25195 Kelly Rd Suite B Roseville MI 48066-4909
Phone: (586) 777-3370
Fax: (586) 777-3380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301069080 Michigan
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301069080 Michigan

Profile Details

NPI number 1740390848
LBN Legal business name Moudgil, Shyam Sunder
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 2nd, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740390848 NPPES
Michigan MEDICAID 4399330

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