Individual
DR. MANOJ DUGGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,FACC
Contact information
Practice address
12750 SAINT FRANCIS DR STE 320, CROWN POINT, IN 46307-0264
(219) 662-0077
(219) 662-9496
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01094306A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01094306A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
036-085016
IL
Other
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
Enumeration date
08/26/2005
Last updated
01/28/2026
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