Individual
DR. KUMUD AGGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 SAINT JOHN RD, SUITE 501, MICHIGAN CITY, IN 46360-7354
(219) 879-4621
(219) 873-2388
Mailing address
450 SAINT JOHN RD, MICHIGAN CITY, IN 46360-7354
(219) 879-4621
(219) 873-2388
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01028750A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100139400A
—
IN
05
—
100163580A
—
IL
Enumeration date
01/31/2006
Last updated
02/28/2012
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