Dr. Pawan Daga
Student in an Organized Health Care Education/Training Program in Louisville, KY. Individual provider (NPI-1).
NPI number1558095299
StatusActive
Last updated in NPPESJul 9, 2022
Details
- NPI
- 1558095299
- Entity type
- Individual (NPI-1)
- Name
- Dr. Pawan Daga
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2022
- Certification date
- Jul 9, 2022
- Last updated
- Jul 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
550 South Jackson StreetInternal Med Residency Program, Acb 3rd Floor
Louisville, KY 40202-4020
Phone 502-852-5666
Mailing address
941 Baxter Ave Unit 106Louisville, KY 40204-2093
Phone 502-775-9097
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