Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 43614 | KY |
N | 208600000X | Surgeon | 43614 | KY |
Y | 2086S0105X | Surgery of the Hand | 43614 | KY |
NPI | 1578879300 |
---|---|
Provider Name | Dr. Anil Duggal |
First Address | Pikeville, KY 41502-0432 |
Second Address | Pikeville, KY 41501-1689 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2010 |
Last Update Date | 20/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
710040080 | (05) | KY |