Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 268285 | MA |
N | 111NI0900X | Internist | 268285 | MA |
N | 207R00000X | Internist | 310650 | NY |
N | 111NI0900X | Internist | 310650 | NY |
Y | 207RI0200X | Infectious Disease | 310650 | NY |
NPI | 1083169742 |
---|---|
Provider Name | Abhimanyu Aggarwal |
First Address | Rochester, NY 14621-3011 |
Second Address | Rochester, NY 14621-3011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2016 |
Last Update Date | 27/07/2021 |