Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | R1P92 | MO |
NPI | 1265557623 |
---|---|
Provider Name | Dr. Neelam Aggarwal |
First Address | Overland Park, KS 66209-3647 |
Second Address | Lees Summit, MO 64081-1204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F30227 | (02) |