Dugel, Pravin U

Dugel, Pravin U is an individual health care provider with primary practice located at 1101 E Missouri Ave , Phoenix AZ 85014-2709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Dugel, Pravin U can be contacted via phone (602) 222-2221.

Contact Information

Primary practice address
1101 E Missouri Ave Phoenix AZ 85014-2709
Fax: (602) 266-2044
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 22210 Arizona
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 22210 Arizona

Profile Details

NPI number 1780686766
LBN Legal business name Dugel, Pravin U
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated May 21st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780686766 NPPES
Arizona MEDICAID 159865

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