Individual
MRIDULA AGGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 N CAMPBELL AVE, PEDIATRIC HOSPITAL MEDICINE, TUCSON, AZ 85724-0001
(520) 626-6614
(520) 626-2883
Mailing address
1501 N CAMPBELL AVE, PO BOX 245073, TUCSON, AZ 85724-0001
(520) 626-6614
(520) 626-2883
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28817
AZ
208000000X
Pediatrics Physician
28817
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
556128
—
AZ
Enumeration date
09/07/2005
Last updated
08/30/2013
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