| 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 | 24 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 |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Ascension St John Hospital | Detroit, MI | Hospital |
| Beaumont Hospital, Troy | Troy, 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 |
Dr. Joshua Nass, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25100 Kelly Rd, Roseville, MI 48066 Phone: 248-553-0010 Fax: 248-553-5957 | |
Dr. Brandon Joel Vieder, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25100 Kelly Rd, Roseville, MI 48066 Phone: 248-553-0010 Fax: 248-553-5957 | |
Dr. Taylor Jo Hess, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 25100 Kelly Rd, Roseville, MI 48066 Phone: 248-553-0010 Fax: 248-553-5957 | |
Christie Cheng, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments 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 |