Provider Demographics
NPI:1801878608
Name:AGGARWAL, SANJAY K (MD)
Entity type:Individual
Prefix:DR
First Name:SANJAY
Middle Name:K
Last Name:AGGARWAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:215 OAK DR S STE H
Mailing Address - Street 2:
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-5618
Mailing Address - Country:US
Mailing Address - Phone:979-297-1007
Mailing Address - Fax:844-573-3211
Practice Address - Street 1:215 OAK DR S STE H
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5618
Practice Address - Country:US
Practice Address - Phone:979-297-1007
Practice Address - Fax:844-573-3211
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK1766207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX029868902Medicaid
TX8281293001OtherCIGNA ID
TX0023BEOtherBCBS ID
TX2175699OtherAETNA ID
TX029868901Medicaid
TX169601501Medicaid
TX169601501Medicaid
TX2175699OtherAETNA ID