Provider Demographics
NPI:1932676483
Name:SINGHAL AGGARWAL, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:SINGHAL AGGARWAL, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MANEESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGHAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-290-3407
Mailing Address - Street 1:2647 CAPELLA WAY
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-4954
Mailing Address - Country:US
Mailing Address - Phone:570-290-3407
Mailing Address - Fax:
Practice Address - Street 1:2647 CAPELLA WAY
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91362-4954
Practice Address - Country:US
Practice Address - Phone:570-290-3407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty