Organization
RAJESH D. DAGLI, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJESH D DAGLI M.D. (PROVIDER)
(269) 278-1145
Entity
Organization
Contact information
Practice address
701 S HEALTH PKWY, THREE RIVERS, MI 49093-8352
(269) 278-1145
Mailing address
711 S HEALTH PKWY, SUITE L-7, THREE RIVERS, MI 49093-9387
(269) 273-9789
(269) 273-9611
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301054003
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8008920590
BCBSM PIN - 701 S. HEALTH PARKWAY, THREE RIVERS, MI
MI
01
—
MI1355
MEDICARE PTAN - 701 S. HEALTH PARKWAY, THREE RIVERS, MI 49093
MI
Enumeration date
09/24/2008
Last updated
05/12/2009
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