Provider Demographics
NPI:1427107192
Name:BAGLI, DARIUS J (MD)
Entity type:Individual
Prefix:
First Name:DARIUS
Middle Name:J
Last Name:BAGLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 MILLWOOD ROAD
Mailing Address - Street 2:
Mailing Address - City:TORONTO
Mailing Address - State:ON
Mailing Address - Zip Code:M4S1J8
Mailing Address - Country:CA
Mailing Address - Phone:416-813-7500
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL FOR SICK CHILD.
Practice Address - Street 2:555 UNIVERSITY AVENUE
Practice Address - City:TORONTO, ONTARIO
Practice Address - State:ON
Practice Address - Zip Code:M5G1X8
Practice Address - Country:CA
Practice Address - Phone:416-813-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA56725208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology