Individual
SANDEEP AGGARWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
219 N BROAD ST, 9TH FL, PHILADELPHIA, PA 19107-1519
(215) 762-2688
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1320
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD435112
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102727256
—
PA
Enumeration date
06/14/2008
Last updated
05/17/2016
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