MEDICARE: DR. DARSHAN C. 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	174400000X	Specialist	ME0038306	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811094980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARSHAN C. AGGARWAL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 15129
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34979-5129
Country	:	US
Telephone Number	:	772-489-6300
Fax Number	:	772-464-4421

Provider Business Practice Location Address
First Line	:	2215 NEBRASKA AVE
Second Line	:	SUITE 2B
City	:	FORT PIERCE
State	:	FL
Zip	:	34950-4864
Country	:	US
Telephone Number	:	772-489-6300
Fax Number	:	772-464-4421

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/09/2007

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