Individual
DR. GAURAV DAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5957 FASHION POINT DR, SOUTH OGDEN, UT 84403-5180
(385) 492-4930
(385) 492-4449
Mailing address
PO BOX 150627, OGDEN, UT 84415-0627
(385) 492-4930
(385) 492-4449
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125052392
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
54311-20
WI
207RP1001X
Pulmonary Disease Physician
54311-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508027541
—
WI
01
—
XOF844229646
BLUE CROSS, BLUE SHIELD
IL
Enumeration date
06/23/2008
Last updated
08/18/2025
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