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Individual

DR. AVICHAL AGGARWAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6410 FANNIN ST STE 370, HOUSTON, TX 77030-3004
(601) 500-5737
Mailing address
1919 CAMBRIA LN, SUGAR LAND, TX 77479-5768
(601) 572-4535

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
21133
MS
2080P0202X
Pediatric Cardiology Physician
Primary
S5305
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02432061
MS
05
194682
AL
01
302I375507
MEDICARE PTAN
MS
Enumeration date
05/16/2007
Last updated
01/14/2021
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