Dr. Gautam Aggarwal, MD
Family Medicine in Phoenix, Arizona
1700185667- 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
Dr. Gautam Aggarwal, MD is a Family Medicine based in Phoenix, AZ. Dr. Gautam Aggarwal, MD holds the professional credentials of MD. The NPI number for Dr. Gautam Aggarwal, MD is 1700185667 and holds license No. 48026 (AZ). The current practice location address is 4131 N 24TH St, Ste. B-102, Phoenix, AZ 85016-6262 and the office can be reached by phone at 602-955-6632 and by fax at 602-381-1341. The NPI was assigned on March 17, 2011 and the record was last updated in NPPES on May 29, 2018.
●Provider Profile Details
- NPI Number
- 1700185667
- Provider Name
- Gautam Aggarwal
- Credential
- MD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Enumeration Date
- March 17, 2011
- Last Update Date
- May 29, 2018
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 4131 N 24TH St
Ste. B-102
Phoenix, AZ 85016-6262 - City
- Phoenix
- State
- Arizona
- ZIP
- 85016-6262
- Country
- US
- Phone Number
- 602-955-6632
- Fax Number
- 602-381-1341
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 48026 | AZ |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?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) and holds license No. 48026 (AZ).
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 at npiregistry.cms.hhs.gov.