Provider Demographics
NPI:1700862034
Name:AGGARWAL, SATINDER KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SATINDER
Middle Name:KUMAR
Last Name:AGGARWAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:10501 TELEGRAPH RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-3375
Mailing Address - Country:US
Mailing Address - Phone:313-295-7200
Mailing Address - Fax:313-295-0009
Practice Address - Street 1:10501 TELEGRAPH RD
Practice Address - Street 2:SUITE 101
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-3375
Practice Address - Country:US
Practice Address - Phone:313-295-7200
Practice Address - Fax:313-295-0009
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301039930207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1700862034Medicaid
MI700H222490OtherBLUE SHIELD
MI4793516Medicaid
MIA77383Medicare UPIN
MI1700862034Medicaid