Basic Information
Provider Information
NPI: 1366806283
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DUGGAL
FirstName: AARTI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 49 JESSE HILL JR DR SE
Address2: FACULTY OFFICE BUILDING, SUITE 497
City: ATLANTA
State: GA
PostalCode: 303033049
CountryCode: US
TelephoneNumber: 4045148620
FaxNumber:  
Practice Location
Address1: 80 JESSE HILL JR DR SE
Address2:  
City: ATLANTA
State: GA
PostalCode: 30303
CountryCode: US
TelephoneNumber: 4046161000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/06/2016
LastUpdateDate: 08/13/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X82746GAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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