Provider Demographics
NPI:1699886549
Name:AGGARWAL, JAG M (MD)
Entity type:Individual
Prefix:DR
First Name:JAG
Middle Name:M
Last Name:AGGARWAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5814 W 130TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-3647
Mailing Address - Country:US
Mailing Address - Phone:913-897-0054
Mailing Address - Fax:
Practice Address - Street 1:600 NW MURRAY RD
Practice Address - Street 2:SUITE 306
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64081-1204
Practice Address - Country:US
Practice Address - Phone:816-525-8400
Practice Address - Fax:816-525-8411
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR9D51207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy