Provider Demographics
NPI:1669838512
Name:DOGRA HEALTH
Entity Type:Organization
Organization Name:DOGRA HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JIGISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RATHOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-972-6610
Mailing Address - Street 1:2 POMONA W
Mailing Address - Street 2:# 9
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2849
Mailing Address - Country:US
Mailing Address - Phone:410-864-8193
Mailing Address - Fax:
Practice Address - Street 1:2 POMONA W
Practice Address - Street 2:# 9
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-2849
Practice Address - Country:US
Practice Address - Phone:410-864-8193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0078125207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty