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NPI Code Detail

MEDICARE: DR. MAYANK AGGARWAL M.D.

MEDICARE: DR. MAYANK AGGARWAL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician44694AZ
2207R00000XInternal Medicine PhysicianMT192141PA
3207R00000XInternal Medicine Physician44694AZ

General Provider Information

NPI Number : 1528223245
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAYANK AGGARWAL M.D.
Provider Business Mailing Address
First Line : 22206 N 94TH LN
Second Line :
City : PEORIA
State : AZ
Zip : 85383-2954
Country : US
Telephone Number : 570-867-1833
Fax Number :
Provider Business Practice Location Address
First Line : 8850 E PIMA CENTER PKWY
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-4619
Country : US
Telephone Number : 570-867-1833
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2008
Last Update Date : 12/09/2025

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