DR. JALIL SHOJAEI-MOGHADDAM (NPI# 1194771337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194771337 |
| Entity Type | Individual |
| Full Name | DR. JALIL SHOJAEI-MOGHADDAM |
| Credential | M.D. |
| Practice Address |
27555 Middlebelt Rd Farmington Hills MI 48334-5011 |
| Practice Telephone | 2484785512 |
| Practice Fax Number | 2484785350 |
| Mailing Telephone | (248) 478-5512 |
| Mailing Fax Number | 2484785350 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2017-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 36234 | KY | Other Service Providers |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
36234 | KY | Allopathic & Osteopathic Physicians |
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
36234 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64941289 | 05 |
| Street Address |
27555 MIDDLEBELT RD |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661391 | Mitchell L Elkiss | Psychiatry & Neurology | 27555 Middlebelt Rd, Farmington Hills, MI 48334-5011 | 2005-07-07 |
| 1649694365 | Jude Christopher Redman | Nurse Practitioner | 27555 Middlebelt Rd, Farmington Hills, MI 48334-5011 | 2014-02-17 |
| 1437441714 | Ain Imaging Plc | Radiology | 27555 Middlebelt Rd, Farmington Hills, MI 48334-5011 | 2011-05-05 |
| 1619187275 | Nader Warra | Psychiatry & Neurology | 27555 Middlebelt Rd, Farmington Hills, MI 48334-5011 | 2007-05-23 |
| 1831307537 | Yvonne M Will-murphy | Psychiatry & Neurology | 27555 Middlebelt Rd, Farmington Hills, MI 48334-5011 | 2007-05-18 |
| 1336147958 | Mark B Silverman | Psychiatry & Neurology | 27555 Middlebelt Rd, Farmington Hills, MI 48334-5011 | 2005-07-08 |
| 1356349062 | Bruce M Silverman | Psychiatry & Neurology | 27555 Middlebelt Rd, Farmington Hills, MI 48334-5011 | 2005-07-07 |
| 1891792628 | Associates In Neurology, PC | Psychiatry & Neurology | 27555 Middlebelt Rd, Farmington Hills, MI 48334-5011 | 2005-07-07 |
| 1376540286 | Mark A Kachadurian | Psychiatry & Neurology | 27555 Middlebelt Rd, Farmington Hills, MI 48334-5011 | 2005-07-07 |
| 1427055342 | Alex M Steinbock | Psychiatry & Neurology | 27555 Middlebelt Rd, Farmington Hills, MI 48334-5011 | 2005-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578535 | Angelique Maria Manasseh | Psychiatry & Neurology | 28521 Orchard Lake Rd Ste B, Farmington Hills, MI 48334-2934 | 2020-04-29 |
| 1205872058 | Brian Nolan Kirschner | Psychiatry & Neurology | 32255 Northwestern Hwy Ste 40, Farmington Hills, MI 48334-1575 | 2006-06-21 |
| 1588661391 | Mitchell L Elkiss | Psychiatry & Neurology | 27555 Middlebelt Rd, Farmington Hills, MI 48334-5011 | 2005-07-07 |
| 1376546192 | Louis E Rentz | Psychiatry & Neurology | 28595 Orchard Lake Rd, Stuite 200, Farmington Hills, MI 48334-2979 | 2005-05-24 |
| 1013530328 | Katherine Elizabeth Ross | Psychiatry & Neurology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-20 |
| 1104448372 | Jake Katzman | Psychiatry & Neurology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-11 |
| 1942820915 | Brooklynn Brianna Bondy | Psychiatry & Neurology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-04-20 |
| 1215598248 | Lea Chhiba | Psychiatry & Neurology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2019-06-20 |
| 1205495975 | Jonathan Doty | Psychiatry & Neurology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2019-06-06 |
| 1659936508 | Vlad Cristian Nasta | Psychiatry & Neurology | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2019-05-07 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
Please comment or provide details below to improve the information on DR. JALIL SHOJAEI-MOGHADDAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.