# DR. MANOJ DUGGAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447243258
- **Gender:** Man
- **Credential:** MD,FACC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | 01094306A | IN | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 01094306A | IN | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 036-085016 | IL | — |

## Other

- **Enumeration date:** 08/26/2005
- **Last updated:** 01/28/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036085016 | — | IL |
| 01 | — | 060053840 | PALMETTO GBA INDIVIDUAL \# | IL |
| 01 | — | 21622931 | BCBS GROUP \# | IL |
| 01 | — | CI8250 | PALMETTO GBA GROUP \# | IL |