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SHYLA R VENGALIL
22101 MOROSS RD GROSSE POINTE MI 482362148
SHYLA R VENGALIL is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1295720001. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 941229819. The primary specialty is OBSTETRICS/GYNECOLOGY. The organization is ST JOHN HOSPITAL AND MEDICAL CENTER. The address is 22101 MOROSS RD, , GROSSE POINTE, MI, 482362148. The zip code is 482362148.
|Nation Provider ID||1295720001|
|PAC ID by PECOS||941229819|
|Professional Enrollment ID||I20051121000510|
|Name||SHYLA R VENGALIL|
|Medical School Name||OTHER|
|All secondary specialties|
|Organization Name||ST JOHN HOSPITAL AND MEDICAL CENTER|
|Group Practice PAC ID||3173424082|
|Number of Group Practice members||127|
|Address||22101 MOROSS RD, , GROSSE POINTE, MI, 482362148|
|Hospital affiliation LBN||ST JOHN HOSPITAL AND MEDICAL CENTER|