Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shyam Sunder Moudgil, MD

Individual provider Internal Medicine Physician · NPI 1740390848

Shyam Sunder Moudgil, MD is a Neurology in Roseville, Michigan. Graduated from West Virginia University School of Medicine in 2001, 25 years ago. Practices with Henry Ford Semi Medical Group, a 253-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
25
Trained at
West Virginia University School of Medicine
Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

25195 Kelly Rd Ste B
Roseville, MI 48066-4909
Phone: (586) 777-3370
Fax: (586) 777-3380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 4301069080 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301069080 (MI)

Record details

NPI number1740390848
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESMarch 2, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Henry Ford Semi Medical Group — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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