NPI 1053547174 · live from the CMS NPI Registry
Lakshmi C Aggarwal, MD
Student in an Organized Health Care Education/Training Program in Portland, OR. National Provider Identifier 1053547174, active.
NPI record
| NPI | 1053547174 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Student in an Organized Health Care Education/Training Program 390200000X |
| Practice location | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 |
| Practice phone | 503-494-8211 |
| Enumerated | June 3, 2009 |
| Last updated | December 22, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | MD168582 (OR) |
| Internal Medicine | 207R00000X | LL18630 (OR) |
| Student in an Organized Health Care Education/Training Program primary | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.