Sandeep Duggal (NPI# 1083818967, PAC ID# 8426158056) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1083818967 |
| PAC ID by PECOS | 8426158056 |
| Professional Enrollment ID | I20140915001517 |
| Full Name | Sandeep Duggal |
| Organization Legal Name | CENTENNIAL HEART LLC |
| Address |
1325 Andrea St Suite 200 Bowling Green KY 42104-5854 |
| Phone Number | 6155151900 |
| Gender | M |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 9931204237 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440161 | TRISTAR CENTENNIAL MEDICAL CENTER |
| 440029 | WILLIAMSON MEDICAL CENTER |
| 440046 | TRISTAR HORIZON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1325 Andrea St, Suite 200, Bowling Green, KY 42104-5854 | 6155151900 | CENTENNIAL HEART LLC |
| 2400 Patterson St, Suite 502, Nashville, TN 37203-6511 | 6155152100 | CENTENNIAL HEART LLC |
| Organization Legal Name | CENTENNIAL HEART LLC |
| Physicians | 80 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey C Webber | Internal Medicine | Centennial Heart LLC | 302 N Congress Blvd, Smithville, TN 37166-2704 |
| Thomas H Cabell | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 2933 Medical Ctr Pkwy D, Murfreesboro, TN 37129-2391 |
| Paul R Myers | Interventional Cardiology | Centennial Heart LLC | 251 Hillcrest Dr, Clarksville, TN 37043-5086 |
| Thomas S Johnston | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 7100 Adams Dr, Fairview, TN 37062-7237 |
| Sunil C Kaza | Interventional Cardiology | Centennial Heart LLC | 491 Sage N Rd, Suite 400, White House, TN 37188-9361 |
| Christopher N Conley | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 123 Ctr Pointe Dr, Clarksville, TN 37040-8665 |
| Gary Wayne Yawn Jr. | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 353 New Shackle Island Rd, Bldg C Suite 300, Handersonville, TN 37075-2329 |
| Marita Walton Ellis | Nurse Practitioner | Centennial Heart LLC | 2400 Patterson St, Suite 502, Nashville, TN 37203-6511 |
| Andrew T Mcrae | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 125 Memorial Dr, Franklin, KY 42134-2752 |
| Jonathan A Hoda | Cardiovascular Disease (cardiology) | Centennial Heart LLC | 5655 1st Blvd, Hermitage, TN 37076-2053 |
| Street Address |
1325 ANDREA ST SUITE 200 |
| City | BOWLING GREEN |
| State | KY |
| Zip | 42104-5854 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack G Glasser | Family Medicine | Greenview Primecare LLC | 1325 Andrea St, Suite 100, Bowling Green, KY 42104-5853 |
| James Todd Douglas | Family Medicine | Greenview Primecare LLC | 1325 Andrea St, Suite 100, Bowling Green, KY 42104-5853 |
| Anderson R Rowland | Family Medicine | Greenview Primecare LLC | 1325 Andrea St, Suite 100, Bowling Green, KY 42104-5853 |
| William C Kemp | Family Practice | Greenview Primecare LLC | 1325 Andrea St, Suite 200, Bowling Green, KY 42104-5854 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sam R Kesri | Internal Medicine | 6040 Scottsville Rd, Bowling Green, KY 42104-0388 | |
| Michael J Collins | Family Medicine | 1340 Ellis Pl, Bowling Green, KY 42104-0602 | |
| James R Farrage Jr. | Physical Medicine and Rehabilitation | 1725 Mcintosh St, Bowling Green, KY 42104-1037 | |
| Freda Y Hubbard | Nurse Practitioner | Greenview Primecare LLC | 730 Campbell Ln, Bowling Green, KY 42104-1039 |
| Joseph R Allen | Family Medicine | Greenview Primecare LLC | 746 Campbell Ln, Suite 101, Bowling Green, KY 42104-1039 |
| Haley G. Brewster | Nurse Practitioner | Greenview Primecare LLC | 746 Campbell Ln, Suite 101, Bowling Green, KY 42104-1039 |
| Trina Rena Warden | Optometry | Love and Warden Eye Care, Pllc | 1256 Campbell Ln, Suite 106, Bowling Green, KY 42104-1083 |
| Tammy H Love | Optometry | Love and Warden Eye Care, Pllc | 1256 Campbell Ln, Suite 106, Bowling Green, KY 42104-1083 |
| Brandon Michael Goodpaster | Chiropractic | Spine Stop Bowling Green Pllc | 760 Campbell Ln, Suite 120, Bowling Green, KY 42104-1085 |
| Darrell L Tade | Optometry | Precision Eye Care Professionals, Pllc | 760 Campbell Ln, Suite 120, Bowling Green, KY 42104-1085 |
| Find all physicians in zip 42104 | |||
| City | BOWLING GREEN |
| Zip Code | 42104 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | BOWLING GREEN + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Sandeep Duggal.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.