Individual
DR. NITISH AGGARWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD/MBA
Contact information
Practice address
1510 E WAGON WHEEL LN STE 110, FORT MOHAVE, AZ 86426-6698
(928) 788-3333
(928) 788-3555
Mailing address
1510 E WAGON WHEEL LN STE 110, FORT MOHAVE, AZ 86426-6698
(928) 788-3333
(928) 788-3555
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
314832-01
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
69844
AZ
208VP0014X
Interventional Pain Medicine Physician
Primary
69844
AZ
Other
Enumeration date
05/17/2018
Last updated
04/17/2025
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