MEDICARE: VED V AGGARWAL MD PA

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	208VP0014X	Interventional Pain Medicine Physician

General Provider Information

NPI Number	:	1932678976
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VED V AGGARWAL MD PA

Provider Business Mailing Address
First Line	:	11350 MCCORMICK RD
Second Line	:	EP1 STE 501
City	:	HUNT VALLEY
State	:	MD
Zip	:	21031
Country	:	US
Telephone Number	:	703-914-8000
Fax Number	:	410-329-1054

Provider Business Practice Location Address
First Line	:	928 LIPSCOMB ST
Second Line	:
City	:	FT WORTH
State	:	TX
Zip	:	76104-3158
Country	:	US
Telephone Number	:	817-348-8600
Fax Number	:	817-348-8602

Authorized Official
Title or Position	:	OWNER
Name	:	VED V AGGARWAL
Credential	:	MD
Telephone Number	:	817-348-8600

Provider Enumeration Date	:	11/20/2018
Last Update Date	:	07/15/2021

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