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1609813872

NPI Code Detail

MEDICARE: SANDEEP DUGGAL MD

MEDICARE: SANDEEP DUGGAL MD

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	207P00000X	Emergency Medicine Physician	ME92370	FL
2	207P00000X	Emergency Medicine Physician	M9986	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01533	OTHER	FL	BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609813872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDEEP DUGGAL MD

Provider Business Mailing Address
First Line	:	11800 ASTORIA BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6041
Country	:	US
Telephone Number	:	281-929-6100
Fax Number	:

Provider Business Practice Location Address
First Line	:	11800 ASTORIA BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6041
Country	:	US
Telephone Number	:	281-929-6100
Fax Number	:

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

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	09/22/2020

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Directions to “ SANDEEP DUGGAL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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