Provider Demographics
NPI:1376708545
Name:DUGGAL, SHASHI P (RN)
Entity Type:Individual
Prefix:
First Name:SHASHI
Middle Name:P
Last Name:DUGGAL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6331 110TH ST
Mailing Address - Street 2:APT.2A
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-1463
Mailing Address - Country:US
Mailing Address - Phone:646-267-4025
Mailing Address - Fax:631-737-1441
Practice Address - Street 1:3240 201ST ST
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-1016
Practice Address - Country:US
Practice Address - Phone:718-428-6719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-27
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303362-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse