Ajay Aggarwal | |
201 Oak Dr S Ste 202 Lake Jackson TX 77566-5627 | |
(979) 285-9995 | |
(979) 245-2415 |
Full Name | Ajay Aggarwal |
---|---|
Speciality | Physical Medicine & Rehabilitation |
Location | 201 Oak Dr S Ste 202, 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 201 Oak Dr S Ste 202 Lake Jackson TX 77566-5627 Ph: (979) 285-9995 |
NPI Number | 1730628116 |
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Provider Enumeration Date | 02/17/2017 |
Last Update Date | 11/03/2023 |
Certification Date | 11/03/2023 |
Medicare PECOS PAC ID | 8224313986 |
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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 |
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