Shojaei-Moghaddam, Jalil

Shojaei-Moghaddam, Jalil is an sole proprietor health care provider with primary practice located at 27555 Middlebelt Rd , Farmington Hills MI 48334-5011. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Shojaei-Moghaddam, Jalil can be contacted via phone (248) 478-5512.

Contact Information

Primary practice address
27555 Middlebelt Rd Farmington Hills MI 48334-5011
Fax: (248) 478-5350
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 36234 Kentucky
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 36234 Kentucky
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 36234 Kentucky

Profile Details

NPI number 1194771337
LBN Legal business name Shojaei-Moghaddam, Jalil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194771337 NPPES
Kentucky MEDICAID 64941289

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