Shyam Sunder Moudgil, MD | |
25195 Kelly Rd, Suite B, Roseville, MI 48066-4909 | |
(586) 777-3370 | |
(586) 777-3380 |
Full Name | Shyam Sunder Moudgil |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 23 Years |
Location | 25195 Kelly Rd, Roseville, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740390848 | NPI | - | NPPES |
4399330 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301069080 (Michigan) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 4301069080 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital - Grosse Pointe | Grosse pointe, MI | Hospital |
Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
Ascension St John Hospital | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeside Neurology P C | 0648233353 | 2 |
Entity Name | Lakeside Neurology P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982725735 PECOS PAC ID: 0648233353 Enrollment ID: O20041104000277 |
Mailing Address | Practice Location Address |
---|---|
Shyam Sunder Moudgil, MD 25195 Kelly Rd, Suite B, Roseville, MI 48066-4909 Ph: (586) 777-3370 | Shyam Sunder Moudgil, MD 25195 Kelly Rd, Suite B, Roseville, MI 48066-4909 Ph: (586) 777-3370 |
Christie Cheng, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 25869 Kelly Rd Ste A, Roseville, MI 48066 Phone: 586-773-6020 Fax: 586-773-6093 | |
Dr. Sharon Jean Myers, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 17017 E 12 Mile Rd, Roseville, MI 48066 Phone: 586-445-8910 | |
Paul A Cullis, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25100 Kelly Rd, Roseville, MI 48066 Phone: 586-771-7440 Fax: 586-771-9966 | |
Dr. Haresh S Mehta, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25869 Kelly Rd, Suite A, Roseville, MI 48066 Phone: 586-773-6020 Fax: 586-773-6093 | |
Vlad Cristian Nasta, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 25100 Kelly Rd, Roseville, MI 48066 Phone: 248-553-0010 | |
Alicia G Lumley, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25195 Kelly Rd, Suite B, Roseville, MI 48066 Phone: 586-777-3370 Fax: 586-777-3380 | |
James Darryl Adamo, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25509 Kelly Rd Ste A, Roseville, MI 48066 Phone: 586-252-2616 Fax: 313-563-8443 |