MEDICARE: SAROJ 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
1	207W00000X	Ophthalmology Physician	35-029663A	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	34-1352147	OTHER		TAX IDENTIFICATION
2	000000333444	OTHER	OH	ANTHEM ID#
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760475800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAROJ AGGARWAL M.D.

Provider Business Mailing Address
First Line	:	12000 MCCRACKEN RD
Second Line	:	SUITE 101
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-2964
Country	:	US
Telephone Number	:	216-581-0470
Fax Number	:	216-581-0474

Provider Business Practice Location Address
First Line	:	12000 MCCRACKEN RD
Second Line	:	SUITE 101
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-2964
Country	:	US
Telephone Number	:	216-581-0470
Fax Number	:	216-581-0474

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	06/27/2013

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Directions to “ SAROJ AGGARWAL M.D.” Practice Location

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