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NPI Code Detail

MEDICARE: DR. SAURABH AGGARWAL MD

MEDICARE: DR. SAURABH AGGARWAL MD
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
1207RC0000XCardiovascular Disease PhysicianME165380FL
2207RC0000XCardiovascular Disease Physician82004WI
3207RC0000XCardiovascular Disease Physician172183CA
4207RC0000XCardiovascular Disease Physician100366WI

General Provider Information

NPI Number : 1396032751
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAURABH AGGARWAL MD
Provider Business Mailing Address
First Line : 2250 S MAIN ST STE 201
Second Line :
City : CORONA
State : CA
Zip : 92882-2536
Country : US
Telephone Number : 951-734-4880
Fax Number : 951-734-7963
Provider Business Practice Location Address
First Line : 258 S CHICKASAW TRL STE 203
Second Line :
City : ORLANDO
State : FL
Zip : 32825-3558
Country : US
Telephone Number : 407-303-6588
Fax Number : 407-303-6592
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2011
Last Update Date : 01/16/2024

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