MEDICARE: KAMLESH KUMAR 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	207R00000X	Internal Medicine Physician	35045044A	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861413627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAMLESH KUMAR AGGARWAL MD

Provider Business Mailing Address
First Line	:	PO BOX 645409
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15264-5252
Country	:	US
Telephone Number	:	330-386-6442
Fax Number	:	330-386-3660

Provider Business Practice Location Address
First Line	:	425 W 5TH ST
Second Line	:
City	:	E LIVERPOOL
State	:	OH
Zip	:	43920-2405
Country	:	US
Telephone Number	:	330-386-2926
Fax Number	:	330-386-2928

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	10/08/2021

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