Manini Moudgal MD

NPI 1487855508 - Pediatrics - 208000000X

NPI Details
NPI 1487855508
Gender Female
Enumeration Date 05/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3901 BEAUBIEN ST
DETROIT MI, 48201-2119, US
Phone (313) 745-0203
Fax
Business Location
42173 SARATOGA CIR
CANTON MI, 48187-3597, US
Phone (734) 667-2445
Fax
Toxanomy
Taxonomy Code 208000000X
License State Michigan
License Number 4301083123
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According to our database, Dr. Manini Moudgal MD NPI is 1487855508, taxonomy code is 208000000X and license number is 4301083123, license state is located at Michigan. Manini Moudgal MD physically located at 3901 Beaubien St, Detroit MI, 48201-2119. NPI Number Manini Moudgal MD has the Individual type.

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1487855508 NPI number is provided on an as is basis without warranty of any kind. 1487855508 is maintained by the National Plan & Provider Enumeration System. The contents of Manini Moudgal MD are for informational purposes only.