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General NPI Number Information
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NPI Number | 1720494347
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Entity Type | Individual
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Provider Name | NAVROOP KANWAL NAGRA M.D
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Gender | Male
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 9201 E MOUNTAIN VIEW RD STE 105
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5140
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Country | US
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Telephone | 480-882-7490
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Fax | 480-323-1575
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Provider Business Mailing Address
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Address Line | 541 NE 20TH AVE STE 225
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City | PORTLAND
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State | OR
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Zip | 97232-2895
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Country | US
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Telephone | 503-963-2801
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Fax | 503-963-2825
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD223625
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 73260
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD60739117
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License Number State | WA
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