Provider Demographics
NPI:1720044688
Name:DUGGIRALA, APARNA (DPM)
Entity Type:Individual
Prefix:
First Name:APARNA
Middle Name:
Last Name:DUGGIRALA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7203 HANOVER PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2000
Mailing Address - Country:US
Mailing Address - Phone:301-441-2655
Mailing Address - Fax:301-441-2656
Practice Address - Street 1:7223 HANOVER PKWY STE B
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2023
Practice Address - Country:US
Practice Address - Phone:301-441-2655
Practice Address - Fax:301-441-2656
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01387213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD403613100Medicaid
MD1932135951OtherGROUP NPI
MD1932135951OtherGROUP NPI
MDG01805R01Medicare ID - Type Unspecified
MD403613100Medicaid