Aggarwal, Kumud

Aggarwal, Kumud is an individual health care provider with primary practice located at 450 Saint John Rd Suite 501, Michigan City IN 46360-7354. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Aggarwal, Kumud can be contacted via phone (219) 879-4621.

Contact Information

Primary practice address
450 Saint John Rd Suite 501 Michigan City IN 46360-7354
Phone: (219) 879-4621
Fax: (219) 873-2388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 01028750A Indiana

Profile Details

NPI number 1992776546
LBN Legal business name Aggarwal, Kumud
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Feb 28th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992776546 NPPES
Illinois MEDICAID 100163580A
Illinois MEDICAID 100139400A

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