Shyam Sunder Moudgil MD

NPI 1740390848 - Internal Medicine - 207R00000X

NPI Details
NPI 1740390848
Gender Male
Enumeration Date 08/30/2006
Last Updated 03/29/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
20867 MACK AVE
SUITE 6
GROSSE POINTE WOODS MI, 48236, US
Phone (313) 882-2922
Fax (313) 882-3680
Business Location
20867 MACK AVE
SUITE 6
GROSSE POINTE WOODS MI, 48236, US
Phone (313) 882-2922
Fax (313) 882-3680
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301069080
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According to our database, Shyam Sunder Moudgil MD NPI is 1740390848, taxonomy code is 207R00000X and license number is 4301069080, license state is located at Michigan. Shyam Sunder Moudgil MD physically located at 20867 Mack Ave, Grosse Pointe Woods MI, 48236. NPI Number Shyam Sunder Moudgil MD has the Individual type.

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1740390848 NPI number is provided on an as is basis without warranty of any kind. 1740390848 is maintained by the National Plan & Provider Enumeration System. The contents of Shyam Sunder Moudgil MD are for informational purposes only.