MEDICARE: DR. PREYANKA 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	207Q00000X	Family Medicine Physician	ME130157	FL
2	207Q00000X	Family Medicine Physician	MD441217	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	30083811	OTHER	PA	AMERIHEALTH MERCY-WMG
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2525182	OTHER	PA	HIGHMARK BLUE SHIELD-WMG
4	415979	OTHER	PA	UPMC-WMG
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	P009192	OTHER	PA	GATEWAY-WMG
7	395282	OTHER	PA	UNISON-WMG
8	970367	OTHER	PA	CAREFIRST MD BCBS
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205036647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PREYANKA AGGARWAL M.D.

Provider Business Mailing Address
First Line	:	2995 DREW ST FL 2
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-3012
Country	:	US
Telephone Number	:	727-532-0002
Fax Number	:	863-229-7513

Provider Business Practice Location Address
First Line	:	36245 HWY 27
Second Line	:
City	:	HAINES CITY
State	:	FL
Zip	:	33844-3744
Country	:	US
Telephone Number	:	863-421-9801
Fax Number	:	863-421-9364

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

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	02/03/2026

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