Provider Demographics
NPI:1487857470
Name:AGGARWAL, HIMANSHU (MD, MPH)
Entity Type:Individual
Prefix:
First Name:HIMANSHU
Middle Name:
Last Name:AGGARWAL
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 LAY DAM RD
Mailing Address - Street 2:
Mailing Address - City:CLANTON
Mailing Address - State:AL
Mailing Address - Zip Code:35045-8344
Mailing Address - Country:US
Mailing Address - Phone:205-663-5775
Mailing Address - Fax:205-739-2049
Practice Address - Street 1:2030 LAY DAM RD
Practice Address - Street 2:
Practice Address - City:CLANTON
Practice Address - State:AL
Practice Address - Zip Code:35045-8344
Practice Address - Country:US
Practice Address - Phone:205-663-5775
Practice Address - Fax:205-739-2049
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL31302207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL187448Medicaid
AL186139Medicaid
AL186088Medicaid
AL127598Medicaid
AL051115114OtherBCBS
AL051115115OtherBCBS
AL127420Medicaid
AL127790Medicaid