Individual
DR. SANJAY K AGGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 OAK DR S STE H, LAKE JACKSON, TX 77566-5618
(979) 297-1007
(844) 573-3211
Mailing address
215 OAK DR S STE H, LAKE JACKSON, TX 77566-5618
(979) 297-1007
(844) 573-3211
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K1766
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
K1766
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023BE
BCBS ID
TX
05
—
029868901
—
TX
05
—
029868902
—
TX
05
—
169601501
—
TX
01
—
2175699
AETNA ID
TX
01
—
8281293001
CIGNA ID
TX
Enumeration date
11/17/2005
Last updated
03/30/2022
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