Basic Information
| Provider Information | |||||||||
| NPI: | 1164680336 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AGGARWAL | ||||||||
| FirstName: | NUPUR | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 UPPER RAGSDALE DR BLDG A | ||||||||
| Address2: | |||||||||
| City: | MONTEREY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939405736 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8313333040 | ||||||||
| FaxNumber: | 8318863639 | ||||||||
| Practice Location | |||||||||
| Address1: | 2 UPPER RAGSDALE DR BLDG A | ||||||||
| Address2: | |||||||||
| City: | MONTEREY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939405736 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3133333040 | ||||||||
| FaxNumber: | 8318861529 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2008 | ||||||||
| LastUpdateDate: | 03/12/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 273240 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 75844871205 | UT | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | C161088 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.