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
207Y00000X
Otolaryngology Physician
Primary
D79215
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D79215
MARYLAND LICENSE
MD
Enumeration date
01/15/2008
Last updated
05/29/2026
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