| Duggal Medical Corp | |
|
1401 Spanos Ct Suite #205 Modesto CA 95355-2810 | |
| (209) 525-3199 | |
| (209) 525-3802 |
| Full Name | Duggal Medical Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 1401 Spanos Ct, Modesto, California |
| Authorized Official Name and Position | Joann Masterson (MEDICAL BILLER) |
| Authorized Official Contact | 2095253199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Duggal Medical Corp 1401 Spanos Ct Suite #205 Modesto CA 95355-2810 Ph: (209) 525-3199 | Duggal Medical Corp 1401 Spanos Ct Suite #205 Modesto CA 95355-2810 Ph: (209) 525-3199 |
| NPI Number | 1467772228 |
|---|---|
| Provider Enumeration Date | 06/03/2010 |
| Last Update Date | 06/03/2010 |
| Medicare PECOS PAC ID | 2163552241 |
|---|---|
| Medicare Enrollment ID | O20100616000639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467772228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A42295 (California) | Primary |
| Provider Name | Arun Duggal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992751937 PECOS PAC ID: 8022148105 Enrollment ID: I20100616000588 |
| Provider Name | Baltej Dosanjh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346536711 PECOS PAC ID: 1658596150 Enrollment ID: I20140625001008 |
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