| Ajay Aggarwal | |
|
208 Oak Dr S Ste 500 Lake Jackson TX 77566-5789 | |
| (979) 245-7246 | |
| (979) 245-2415 |
| Full Name | Ajay Aggarwal |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 208 Oak Dr S Ste 500, Lake Jackson, Texas |
| Authorized Official Name and Position | Ajay Aggarwal (OWNER/PROVIDER) |
| Authorized Official Contact | 9792457246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ajay Aggarwal 1002 Alkire Lake Dr Sugar Land TX 77478-3408 Ph: (979) 245-7246 | Ajay Aggarwal 208 Oak Dr S Ste 500 Lake Jackson TX 77566-5789 Ph: (979) 245-7246 |
| NPI Number | 1730628116 |
|---|---|
| Provider Enumeration Date | 02/17/2017 |
| Last Update Date | 11/14/2024 |
| Certification Date | 11/12/2024 |
| Medicare PECOS PAC ID | 8224313986 |
|---|---|
| Medicare Enrollment ID | O20170607000814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730628116 | NPI | - | NPPES |
| Provider Name | Ajay Aggarwal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467413567 PECOS PAC ID: 9830170752 Enrollment ID: I20040614001575 |
| Provider Name | Cathy D Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376905844 PECOS PAC ID: 7618266057 Enrollment ID: I20160525000846 |
| Provider Name | Angela L Dunbar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528898327 PECOS PAC ID: 4385175645 Enrollment ID: I20240927001535 |
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