Provider Demographics
NPI:1891743654
Name:AGGARWAL, SHELINDER (MD)
Entity Type:Individual
Prefix:DR
First Name:SHELINDER
Middle Name:
Last Name:AGGARWAL
Suffix:
Gender:M
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 552
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-0552
Mailing Address - Country:US
Mailing Address - Phone:256-382-1401
Mailing Address - Fax:256-382-1402
Practice Address - Street 1:808B TURNER ST SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5115
Practice Address - Country:US
Practice Address - Phone:256-382-1401
Practice Address - Fax:256-382-1402
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL223842081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000021318Medicaid
ALG23431Medicare UPIN
AL000021318Medicare ID - Type Unspecified