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NPI Code Detail

MEDICARE: DR. ABHIMANYU AGGARWAL MD

MEDICARE: DR. ABHIMANYU 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
12085R0202XDiagnostic Radiology Physician0101278887VA
22085R0202XDiagnostic Radiology Physician68697TN
32085R0202XDiagnostic Radiology PhysicianME166355FL
42085R0202XDiagnostic Radiology PhysicianMD474970PA
52085R0202XDiagnostic Radiology PhysicianD0096589MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1286582OTHERMASTATE

General Provider Information

NPI Number : 1447605704
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABHIMANYU AGGARWAL MD
Provider Business Mailing Address
First Line : 4451 LOGMILL RD
Second Line :
City : GAINESVILLE
State : VA
Zip : 20155-1046
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 PRUDENTIAL DR FL 8202
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8202
Country : US
Telephone Number : 703-732-5623
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2016
Last Update Date : 02/19/2026

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