Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 134847 | CA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 283822 | NY |
N | 207YP0228X | Pediatric Otolaryngology | 134847 | CA |
N | 207YP0228X | Pediatric Otolaryngology | 283822 | NY |
N | 207YS0123X | Facial Plastic Surgeon | 134847 | CA |
N | 207YS0123X | Facial Plastic Surgeon | 283822 | NY |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 134847 | CA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 283822 | NY |
NPI | 1922327584 |
---|---|
Provider Name | Deepak Raj Dugar |
First Address | Beverly Hills, CA 90210-4524 |
Second Address | Beverly Hills, CA 90210-4524 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2010 |
Last Update Date | 26/06/2019 |