Provider Demographics
NPI:1548879752
Name:NAVDEEP DOGRA MD
Entity type:Organization
Organization Name:NAVDEEP DOGRA MD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:NAVDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:DOGRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:870-663-4849
Mailing Address - Street 1:1801 W 40TH AVE STE 2C
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71603-6957
Mailing Address - Country:US
Mailing Address - Phone:870-663-4849
Mailing Address - Fax:
Practice Address - Street 1:1801 W 40TH AVE STE 2C
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-6957
Practice Address - Country:US
Practice Address - Phone:870-663-4849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-24
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty