Provider Demographics
NPI:1316932858
Name:DOOGAL, SHILPA (MD)
Entity type:Individual
Prefix:
First Name:SHILPA
Middle Name:
Last Name:DOOGAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHILPA
Other - Middle Name:
Other - Last Name:RAHANGDALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:275 VARNUM AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01854-2141
Mailing Address - Country:US
Mailing Address - Phone:978-934-9220
Mailing Address - Fax:978-453-7771
Practice Address - Street 1:275 VARNUM AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-2141
Practice Address - Country:US
Practice Address - Phone:978-934-9220
Practice Address - Fax:978-453-7771
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA210283207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA456556OtherTUFTS
MAAA37884OtherHARVARD PILGRIM
MAJ23856OtherBCBS
MA0145131Medicaid
MA2485229OtherUNITED HEALTHCARE
MAH45509Medicare UPIN
MAAA37884OtherHARVARD PILGRIM