Individual
RAJESH D DAGLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1535 GULL RD STE 200, KALAMAZOO, MI 49048-1638
(269) 388-6350
(269) 388-6360
Mailing address
1535 GULL RD STE 200, KALAMAZOO, MI 49048-1638
(269) 388-6350
(269) 388-6360
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301 054003
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1994510
—
MI
05
—
4733741
—
MI
01
—
8008920590
BCBSM PIN - THREE RIVERS
MI
01
—
MI1355
MEDICARE PTAN - THREE RIVERS HEALTH
MI
Enumeration date
04/06/2006
Last updated
10/23/2018
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