Individual
VARSHA VIVEK MOUDGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5333 MCAULEY DR, STE 6109, YPSILANTI, MI 48197-0000
(734) 712-8600
(734) 712-8636
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301071985
MI
207RI0200X
Infectious Disease Physician
VM071985
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4895454-10
—
MI
Enumeration date
06/01/2006
Last updated
09/26/2014
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