Provider Demographics
NPI:1215220447
Name:AGGARWAL, SUMESH (MD)
Entity Type:Individual
Prefix:
First Name:SUMESH
Middle Name:
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 1:7070 KNIGHTS CT STE 1801
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5551
Mailing Address - Country:US
Mailing Address - Phone:832-400-2613
Mailing Address - Fax:832-400-2614
Practice Address - Street 1:7070 KNIGHTS CT STE 1801
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5551
Practice Address - Country:US
Practice Address - Phone:832-400-2613
Practice Address - Fax:832-400-2614
Is Sole Proprietor?:No
Enumeration Date:2011-05-20
Last Update Date:2024-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXP9503207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5598620OtherUHC
TX382143YT8BOtherMEDICARE PTAN
TX341697601Medicaid
TXP01508936OtherRR MEDICARE
TX8EV395OtherBCBS TX
TX1234971OtherCIGNA
TX5710792OtherAETNA