Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 269788 | NY |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 269788 | NY |
NPI | 1841209988 |
---|---|
Provider Name | Naven Duggal |
First Address | East Syracuse, NY 13057-3072 |
Second Address | Syracuse, NY 13214-1985 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 04/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03576652 | (05) | NY |