Provider Demographics
NPI:1942247986
Name:AGGARWAL, RAJIV KUMAR (MB, BS)
Entity Type:Individual
Prefix:DR
First Name:RAJIV
Middle Name:KUMAR
Last Name:AGGARWAL
Suffix:
Gender:M
Credentials:MB, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 E NICOLLET BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-6772
Mailing Address - Country:US
Mailing Address - Phone:952-435-8516
Mailing Address - Fax:763-302-4336
Practice Address - Street 1:501 E NICOLLET BLVD STE 100
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337
Practice Address - Country:US
Practice Address - Phone:952-435-8516
Practice Address - Fax:763-302-4336
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI433372084N0400X
MN417872084S0012X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0500155OtherMEDICA
MN127723C029OtherUCARE
MN899273OtherAMERICA'S PPO
MN54B40AGOtherBCBS OF MN
WI34067700Medicaid
MN130022011OtherRAILROAD MEDICARE
MNHP29894OtherHEALTHPARTNERS
MN1022853OtherPREFERRED ONE
MN1942247986Medicaid
MN127723C029OtherUCARE
WI34067700Medicaid