Sanjiv G Aggarwal, MD | |
7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | |
(260) 432-2297 | |
(260) 434-6433 |
Full Name | Sanjiv G Aggarwal |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 7916 W Jefferson Blvd, Fort Wayne, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316917511 | NPI | - | NPPES |
P00783735 | Other | IN | RAILRAOD |
000000087399 | Other | IN | ANTHEM |
060054271 | Other | RAILROAD | |
260690DD | Other | IN | MEDICARE |
200238590 | Medicaid | IN | |
2158383 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 01050795A (Indiana) | Primary |
Entity Name | Cameron Memorial Community Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770521478 PECOS PAC ID: 9234020835 Enrollment ID: O20040323001008 |
Entity Name | Indiana University Health Fort Wayne Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316550445 PECOS PAC ID: 5193138527 Enrollment ID: O20210104001512 |
Mailing Address | Practice Location Address |
---|---|
Sanjiv G Aggarwal, MD 6920 Pointe Inverness Way Ste 200, Medpartners, Attn: Barb Copeland, Fort Wayne, IN 46804-7934 Ph: (260) 479-3514 | Sanjiv G Aggarwal, MD 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 432-2297 |
Dr. Dustin M Thomas, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-5700 Fax: 260-266-5910 | |
Ahmad Alhariri, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-2020 | |
Dr. Anuradha G Bommakanti, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 | |
Eileen Jill Ramos Muzzillo, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4402 E State Blvd, Fort Wayne, IN 46815 Phone: 260-425-5600 Fax: 260-425-5605 | |
John T Ducker, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804 Phone: 260-494-3484 Fax: 260-969-0188 | |
Mr. Kenneth A Smith, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1234 East Dupont Road, Suite 5, Fort Wayne, IN 46825 Phone: 260-489-1666 Fax: 260-489-3255 | |
Dr. Carl Marc Williams, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11104 Parkview Circle Dr, Fort Wayne, IN 46845 Phone: 260-373-9700 Fax: 260-373-9740 |