MEDICARE: DR. MANU B 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
1	207Q00000X	Family Medicine Physician	89206	OH

General Provider Information

NPI Number	:	1477740157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANU B AGGARWAL MD

Provider Business Mailing Address
First Line	:	531 S EASTOWN RD
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45805-2800
Country	:	US
Telephone Number	:	419-227-4472
Fax Number	:

Provider Business Practice Location Address
First Line	:	531 S EASTOWN RD
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45805-2800
Country	:	US
Telephone Number	:	419-227-4472
Fax Number	:

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

Provider Enumeration Date	:	09/26/2007
Last Update Date	:	11/16/2016

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