Aggarwal, Mridula

Aggarwal, Mridula is an individual health care provider with primary practice located at 1501 N Campbell Ave Pediatric Hospital Medicine, Tucson AZ 85724-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Aggarwal, Mridula can be contacted via phone (520) 626-6614.

Contact Information

Primary practice address
1501 N Campbell Ave Pediatric Hospital Medicine Tucson AZ 85724-0001
Phone: (520) 626-6614
Fax: (520) 626-2883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28817 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28817 Arizona

Profile Details

NPI number 1932193885
LBN Legal business name Aggarwal, Mridula
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Aug 30th, 2013 - 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 1932193885 NPPES
Arizona MEDICAID 556128

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