MEDICARE: DR. SUBASH BABU DUGGIRALA M.D., M.P.H.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician	D36726	MD

General Provider Information

NPI Number	:	1215903653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUBASH BABU DUGGIRALA M.D., M.P.H.

Provider Business Mailing Address
First Line	:	1406 WOODWELL RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-2080
Country	:	US
Telephone Number	:	240-476-1884
Fax Number	:

Provider Business Practice Location Address
First Line	:	1406 WOODWELL RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-2080
Country	:	US
Telephone Number	:	240-476-1884
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2006
Last Update Date	:	07/08/2007

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