Active NPI
Rajesh D. Dagli, M.D.
- Neurology Physician
- Three Rivers, MI
National Provider Identifier
1932359197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 4301054003
- Legal business name
- RAJESH D. DAGLI, M.D.
- Practice address
- 701 S Health Pkwy
Three Rivers, MI 49093-8352 - Phone
- (269) 278-1145
- NPI assigned
- Sep 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rajesh D Dagli, M.D.
- Title
- Provider
- Phone
- (269) 278-1145
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 4301054003 | MI | Primary |
Addresses
Primary practice location
701 S Health Pkwy
Three Rivers, MI 49093-8352
Mailing address
711 S Health Pkwy
Suite L-7
Three Rivers, MI 49093-9387
Phone (269) 273-9789
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI1355 | Other | MI | MEDICARE PTAN - 701 S. HEALTH PARKWAY, THREE RIVERS, MI 49093 |
| 8008920590 | Other | MI | BCBSM PIN - 701 S. HEALTH PARKWAY, THREE RIVERS, MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242086400000",
"number": "1932359197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 S HEALTH PKWY",
"address_2": "SUITE L-7",
"city": "THREE RIVERS",
"state": "MI",
"postal_code": "490939387",
"telephone_number": "269-273-9789",
"fax_number": "269-273-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 S HEALTH PKWY",
"city": "THREE RIVERS",
"state": "MI",
"postal_code": "490938352",
"telephone_number": "269-278-1145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAJESH D. DAGLI, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-24",
"last_updated": "2009-05-12",
"status": "A",
"authorized_official_last_name": "DAGLI",
"authorized_official_first_name": "RAJESH",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "269-278-1145",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301054003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN - 701 S. HEALTH PARKWAY, THREE RIVERS, MI 49093",
"identifier": "MI1355",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM PIN - 701 S. HEALTH PARKWAY, THREE RIVERS, MI",
"identifier": "8008920590",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Three Rivers, MI
- Promed Healthcare
- Promed Healthcare (ProMed Family Practice --RHC)
- Jessica Lynn Puckett, DO
- Michael Pulford, CRNA
- Connor Quake
- Jane Rapin, RD
- Renal Care Group Southwest Michigan, LLC (RCG Three Rivers)
- Residential Opportunities, Inc. (GLC Three Rivers)
- Elizabeth Rhodes
- Rite Aid of Michigan Inc (Rite Aid Pharmacy 04235)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.