Provider Demographics
NPI:1346443652
Name:AGGARWAL, PARINA (MD)
Entity Type:Individual
Prefix:
First Name:PARINA
Middle Name:
Last Name:AGGARWAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PARINA
Other - Middle Name:A
Other - Last Name:SHAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4245 JOHNS CREEK PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-9122
Mailing Address - Country:US
Mailing Address - Phone:678-990-3962
Mailing Address - Fax:678-990-3862
Practice Address - Street 1:6105 PEACHTREE DUNWOODY RD STE A205
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5945
Practice Address - Country:US
Practice Address - Phone:678-990-3962
Practice Address - Fax:786-233-8626
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA66899207R00000X, 207RS0012X, 207RS0012X
GA066899207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003120791Medicaid
GA202I115505Medicare Oscar/Certification
GA003120791Medicaid