MEDICARE: DR. SHIV KUMAR 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	207R00000X	Internal Medicine Physician	ME0061805	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	110138830	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	104185	OTHER	FL	AVMED
2	27496	OTHER	FL	WELLCARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	14914	OTHER	FL	BLUE CROSS BLUE SHIELD
6	4237256	OTHER	FL	AETNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376552075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHIV KUMAR AGGARWAL M.D.

Provider Business Mailing Address
First Line	:	5522 TROUBLE CREEK RD
Second Line	:	STE 100
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-5171
Country	:	US
Telephone Number	:	727-842-7088
Fax Number	:	727-848-6731

Provider Business Practice Location Address
First Line	:	5522 TROUBLE CREEK RD
Second Line	:	STE 100
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-5171
Country	:	US
Telephone Number	:	727-842-7088
Fax Number	:	727-848-6731

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

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	04/12/2010

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Directions to “ DR. SHIV KUMAR AGGARWAL M.D.” Practice Location

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