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NPI Code Detail

MEDICARE: DR. OM P AGGARWAL M.D.

MEDICARE:  DR. OM P 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
1207R00000XInternal Medicine Physician146804NY

General Provider Information

NPI Number : 1174693584
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OM P AGGARWAL M.D.
Provider Business Mailing Address
First Line : 5612 220TH ST
Second Line :
City : OAKLAND GARDENS
State : NY
Zip : 11364-1934
Country : US
Telephone Number : 718-279-1480
Fax Number : 718-503-7712
Provider Business Practice Location Address
First Line : 234 E 149TH ST
Second Line :
City : BRONX
State : NY
Zip : 10451-5504
Country : US
Telephone Number : 718-579-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2006
Last Update Date : 07/08/2007

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Directions to “ DR. OM P AGGARWAL M.D.” Practice Location

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