Provider Demographics
NPI:1851279020
Name:EENA DUGGAL MD
Entity type:Organization
Organization Name:EENA DUGGAL MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EENA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUGGAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-989-2274
Mailing Address - Street 1:5601 NORRIS CANYON RD STE 220
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-5407
Mailing Address - Country:US
Mailing Address - Phone:925-249-9900
Mailing Address - Fax:833-760-3950
Practice Address - Street 1:5601 NORRIS CANYON RD STE 220
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-5407
Practice Address - Country:US
Practice Address - Phone:925-249-9900
Practice Address - Fax:833-760-3950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty