Organization Active NPI

Liberty Bay Internal Medicine Associates Inc PS

  • Internal Medicine Physician
  • Poulsbo, WA
National Provider Identifier
1871518639
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00036603 Issued in WA
Legal business name
LIBERTY BAY INTERNAL MEDICINE ASSOCIATES INC PS
Practice address
20700 Bond Rd NE
Poulsbo, WA 98370-9099
Phone
(360) 779-9911
Fax
(360) 779-9971
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Narinder M Duggal, MD
Title
Owner
Phone
(360) 779-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 00036603 WA Primary

Addresses

Primary practice location

20700 Bond Rd NE
Poulsbo, WA 98370-9099

Mailing address

20700 Bond Rd NE
Poulsbo, WA 98370-9099
Phone (360) 779-9911

National Provider Directory

National Provider Directory

Locations

20700 Bond Rd NE
Poulsbo, WA 98370
Phone (360) 598-3141

20696 Bond Rd NE
Ste 205
Poulsbo, WA 98370
Phone (360) 930-0222

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1871518639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20700 BOND RD NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709099",
            "telephone_number": "360-779-9911",
            "fax_number": "360-779-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 BOND RD NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709099",
            "telephone_number": "360-779-9911",
            "fax_number": "360-779-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY BAY INTERNAL MEDICINE ASSOCIATES INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "DUGGAL",
        "authorized_official_first_name": "NARINDER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-779-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "00036603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.