Provider Demographics
NPI:1649449604
Name:DUGGAL, VANDANA (MD)
Entity type:Individual
Prefix:DR
First Name:VANDANA
Middle Name:
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 1:1450 TREAT BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-2168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5860 OWENS DR
Practice Address - Street 2:STE 210
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3900
Practice Address - Country:US
Practice Address - Phone:925-224-0740
Practice Address - Fax:925-224-0741
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA110383207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP01119468OtherRAILROAD MEDICARE
CADB685ZMedicare PIN