Individual
DR. PRAVEEN DUGGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
479 JUMPERS HOLE RD, SUITE 304, SEVERNA PARK, MD 21146-1600
(410) 544-9988
(410) 544-9994
Mailing address
275 FAIRTREE PLZ, SEVERNA PARK, MD 21146-3113
(410) 544-9988
(410) 544-9994
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D79215
MD
207Y00000X
Otolaryngology Physician
Primary
67887
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D79215
MARYLAND LICENSE
MD
Enumeration date
01/15/2008
Last updated
10/12/2015
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