Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | R9D51 | MO |
NPI | 1699886549 |
---|---|
Provider Name | Dr. Jag M Aggarwal |
First Address | Overland Park, KS 66209-3647 |
Second Address | Lees Summit, MO 64081-1204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |