Provider Demographics
NPI:1619971462
Name:AGGARWAL, RINKOO (MD)
Entity Type:Individual
Prefix:
First Name:RINKOO
Middle Name:
Last Name:AGGARWAL
Suffix:
Gender:F
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:PO BOX 43905
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40253-0905
Mailing Address - Country:US
Mailing Address - Phone:502-583-4700
Mailing Address - Fax:502-583-8434
Practice Address - Street 1:13328 SHELBYVILLE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-3936
Practice Address - Country:US
Practice Address - Phone:502-583-4700
Practice Address - Fax:502-583-8434
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY32957174400000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200272420AMedicaid
KY64018740Medicaid
KY250012144OtherMEDICARE RAILROAD
KY64018740Medicaid
IN091290GMedicare ID - Type Unspecified
IN200272420AMedicaid