NPI 1730628116 · live from the CMS NPI Registry
Ajay Aggarwal
Physical Medicine & Rehabilitation in Lake Jackson, TX. National Provider Identifier 1730628116, active.
NPI record
| NPI | 1730628116 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Medicine & Rehabilitation 208100000X |
| Practice location | 208 Oak Dr S Ste 500, Lake Jackson, TX 77566 |
| Practice phone | 979-245-7246 |
| Mailing address | 1002 Alkire Lake Dr, Sugar Land, TX 77478 |
| Enumerated | February 17, 2017 |
| Last updated | November 14, 2024 |
| Authorized official | Ajay Aggarwal, Owner/Provider |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | — |
| Anesthesiology | 207L00000X | — |
| Anesthesiology, Pain Medicine | 207LP2900X | — |
| Physical Medicine & Rehabilitation primary | 208100000X | — |
| Nurse Practitioner | 363L00000X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.