# ADIL T DEGANI

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

## Provider details

- **NPI number:** 1790965481
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 001294 | GA | — |
| 207R00000X | Internal Medicine Physician | D73909 | MD | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | D73909 | MD | — |

## Other

- **Enumeration date:** 11/09/2007
- **Last updated:** 06/04/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 053837000 | — | MD |
| 01 | — | 314732 | KAISER | MD |
| 01 | — | 4201157 | CIGNA | MD |
| 01 | — | 8525878 | AETNA HMO | MD |
| 01 | — | 9178835 | AETNA PPO | MD |
