Individual
MANISH AGGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 HOUSE AVE, SUITE 201, CHEYENNE, WY 82001-3176
(307) 638-7757
(307) 638-8359
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 638-7757
(307) 426-4505
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
8804A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07817
—
LA
05
—
1427250547
—
WY
Enumeration date
06/01/2007
Last updated
12/27/2012
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