- Practice location
- 4131 N 24TH St, Ste. B-102, Phoenix, AZ 85016-6262
- Phone
- 602-955-6632
- Fax
- 602-381-1341
- Last updated
- May 29, 2018
Gautam Aggarwal is a Family Medicine based in Phoenix, AZ. Gautam Aggarwal practices in Phoenix, AZ and has the professional credentials of MD. The NPI Number for Gautam Aggarwal is 1700185667 and holds a License No. 48026 (AZ). The current practice location address for Gautam Aggarwal is 4131 N 24TH St, Ste. B-102, Phoenix, AZ 85016-6262 and can be reached out via phone at 602-955-6632 and via fax at 602-381-1341.
Provider Profile Details
- NPI Number
- 1700185667
- Provider Name
- Gautam Aggarwal
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4131 N 24TH St, Ste. B-102, Phoenix, AZ 85016-6262
- Phone Number
- 602-955-6632
- Fax Number
- 602-381-1341
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 17, 2011
- Last Update Date
- May 29, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4131 N 24TH St
Ste. B-102
Phoenix, AZ 85016-6262 - City
- Phoenix
- State
- Arizona
- Zip
- 85016-6262
- Phone Number
- 602-955-6632
- Fax Number
- 602-381-1341
Provider Business Mailing Address Details
- Address
- 4041 N Central Ave
Bldg C
Phoenix, AZ 85012-3313 - City
- Phoenix
- State
- AZ
- Zip
- 85012-3313
- Phone Number
- 602-279-5262
- Fax Number
- 602-279-5390
License Information
- License Number
- 48026
- License State
- AZ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Gautam Aggarwal, MD?
The NPI number of Dr. Gautam Aggarwal, MD is 1700185667. It was assigned on March 17, 2011 and is currently active in the NPPES registry.
What is the specialty of Dr. Gautam Aggarwal, MD?
Dr. Gautam Aggarwal, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in AZ under license number 48026.
Where does Dr. Gautam Aggarwal, MD practice?
The practice location is 4131 N 24TH St, Ste. B-102, Phoenix, AZ 85016-6262. The office can be reached at 602-955-6632 (phone) or 602-381-1341 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700185667 directly on the NPPES registry website.