Individual
DR. GAUTAM AGGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4131 N 24TH ST, STE. B-102, PHOENIX, AZ 85016-6262
(602) 955-6632
(602) 381-1341
Mailing address
4041 N CENTRAL AVE, BLDG C, PHOENIX, AZ 85012-3313
(602) 279-5262
(602) 279-5390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48026
AZ
Other
Enumeration date
03/17/2011
Last updated
05/29/2018
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