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Individual

SOURABH AGGARWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9520 W PALM LN STE 150, PHOENIX, AZ 85037-4454
(602) 584-5444
(602) 584-6202
Mailing address
9520 W PALM LN STE 150, PHOENIX, AZ 85037-4454
(602) 584-5444
(602) 584-6202

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
58627
AZ
207RI0011X
Interventional Cardiology Physician
Primary
58627
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
545765
AZ
Enumeration date
07/24/2012
Last updated
10/18/2021
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