Individual
DR. JALIL SHOJAEI-MOGHADDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27555 MIDDLEBELT RD, FARMINGTON HILLS, MI 48334-5011
(248) 478-5512
(248) 478-5350
Mailing address
27555 MIDDLEBELT RD, FARMINGTON HILLS, MI 48334-5011
(248) 478-5512
(248) 478-5350
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
36234
KY
2084N0400X
Neurology Physician
Primary
36234
KY
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
36234
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64941289
—
KY
Enumeration date
05/26/2006
Last updated
07/21/2022
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