Healthcare Provider Details

I. General information

NPI: 1558929703
Provider Name (Legal Business Name): RAHUL AGGARWAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 FRANCIS ST
BOSTON MA
02115-6134
US

IV. Provider business mailing address

70 FRANCIS ST
BOSTON MA
02115-6134
US

V. Phone/Fax

Practice location:
  • Phone: 617-667-7000
  • Fax:
Mailing address:
  • Phone: 857-307-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number036180588
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number1014842
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: