Provider Demographics
NPI:1437332244
Name:DUGGAL, JASLEEN KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:JASLEEN
Middle Name:KAUR
Last Name:DUGGAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3008 SILLECT AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-6340
Mailing Address - Country:US
Mailing Address - Phone:661-748-1999
Mailing Address - Fax:888-668-1767
Practice Address - Street 1:3008 SILLECT AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-6340
Practice Address - Country:US
Practice Address - Phone:661-748-1999
Practice Address - Fax:888-668-1767
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125048873174400000X
CAA113472174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist