Doctor Name: | SHYLA R VENGALIL |
NPI Number: | 1295720001 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 4301056978 |
Business Practice Address: | 22151 Moross Rd Suite 320 Detroit, MI - 482362167 |
Business Phone Number: | 3133437374 |
Business Fax Number: | 3133437072 |
Mailing Address: | 22151 Moross Rd, Suite 320 GROSSE POINTE WOODS |
State: | MI |
Postal Code: | 482362167 |
Phone Number: | 3133437374 |
Fax Number: | 3133437072 |
NPI Enumeration Date: | 09/19/2005 |
NPI Last Update Date: | 01/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 4301056978 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |