Healthcare Provider Details

I. General information

NPI: 1760668933
Provider Name (Legal Business Name): LOVEDHI AGGARWAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2008
Last Update Date: 08/12/2020
Certification Date: 08/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 N BELLE MEAD RD
EAST SETAUKET NY
11733-3495
US

IV. Provider business mailing address

181 N BELLE MEAD RD
EAST SETAUKET NY
11733-3495
US

V. Phone/Fax

Practice location:
  • Phone: 632-444-5858
  • Fax: 631-444-1899
Mailing address:
  • Phone: 632-444-5858
  • Fax: 631-444-1899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number256462
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: