Vengalil, Shyla R

Vengalil, Shyla R is an individual health care provider with primary practice located at 22151 Moross Rd Suite 320, Detroit MI 48236-2167. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Vengalil, Shyla R can be contacted via phone (313) 343-7374.

Contact Information

Primary practice address
22151 Moross Rd Suite 320 Detroit MI 48236-2167
Phone: (313) 343-7374
Fax: (313) 343-7072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 4301056978 Michigan
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301056978 Michigan

Profile Details

NPI number 1295720001
LBN Legal business name Vengalil, Shyla R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jan 16th, 2015 - about 9 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 1295720001 NPPES
Other 4408530 ECFMG

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