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NPI Code Detail

MEDICARE: DR. ATUL AGGARWAL M.D.

MEDICARE: DR. ATUL 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
12085B0100XBody Imaging Physician220615MA
22085N0904XNuclear Radiology Physician220615MA
3207U00000XNuclear Medicine Physician0101239980VA
42085R0202XDiagnostic Radiology Physician0101239980VA

General Provider Information

NPI Number : 1811964059
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ATUL AGGARWAL M.D.
Provider Business Mailing Address
First Line : 2602 BUFORD RD
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-3422
Country : US
Telephone Number : 804-272-8806
Fax Number :
Provider Business Practice Location Address
First Line : 2602 BUFORD RD
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-3422
Country : US
Telephone Number : 804-272-8806
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 11/02/2012

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