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:
Health care specialties
Specialty | Code | License # | 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 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932193885 | NPPES |
Arizona | MEDICAID | 556128 |
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