Individual
OMAR AGGARWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 COMMONWEALTH AVE APT 11, WARWICK, RI 02886-2782
(956) 459-2710
Mailing address
400 COMMONWEALTH AVE APT 11, WARWICK, RI 02886-2782
(956) 459-2710
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
841393
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP141164
TX
Other
Enumeration date
09/18/2018
Last updated
08/02/2019
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