Organization
PARAGON HEALTH, P.C.
Active
Other names
Park Allergy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANJAY P. DALAL M.D. (PRESIDENT)
(269) 341-4554
Entity
Organization
Contact information
Practice address
430 W CENTRE AVE, PORTAGE, MI 49024-5304
(269) 321-6673
(269) 324-5594
Mailing address
430 W CENTRE AVE, PORTAGE, MI 49024-5304
(269) 321-6673
(269) 324-5594
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
MI
207KA0200X
Allergy Physician
Primary
—
MI
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
—
MI
Other
Enumeration date
04/13/2006
Last updated
03/06/2015
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