Provider Demographics
NPI:1457021446
Name:RINKOO AGGARWAL MD LLC
Entity Type:Organization
Organization Name:RINKOO AGGARWAL MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RINKOO
Authorized Official - Middle Name:
Authorized Official - Last Name:AGGARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-552-3579
Mailing Address - Street 1:1848 FRANKFORT AVE UNIT R
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-3159
Mailing Address - Country:US
Mailing Address - Phone:502-552-3579
Mailing Address - Fax:812-941-6276
Practice Address - Street 1:1848 FRANKFORT AVE UNIT R
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-3159
Practice Address - Country:US
Practice Address - Phone:502-552-3579
Practice Address - Fax:812-941-6276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY32957OtherLICENSE