Provider Demographics
NPI:1821792359
Name:AGGARWAL, ADEETI (MD/PHD)
Entity Type:Individual
Prefix:
First Name:ADEETI
Middle Name:
Last Name:AGGARWAL
Suffix:
Gender:F
Credentials:MD/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12835 PHEASANT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-3756
Mailing Address - Country:US
Mailing Address - Phone:914-980-6860
Mailing Address - Fax:
Practice Address - Street 1:3400 CIVIC CENTER BLVD FL 6
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5162
Practice Address - Country:US
Practice Address - Phone:914-980-6860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program