Healthcare Provider Details

I. General information

NPI: 1205364957
Provider Name (Legal Business Name): SATINDER KUMAR AGGARWAL MD P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10501 TELEGRAPH RD STE 101
TAYLOR MI
48180-3376
US

IV. Provider business mailing address

10501 TELEGRAPH RD STE 101
TAYLOR MI
48180-3376
US

V. Phone/Fax

Practice location:
  • Phone: 313-295-7200
  • Fax:
Mailing address:
  • Phone: 313-295-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301039930
License Number StateMI

VIII. Authorized Official

Name: SATINDER KUMAR AGGARWAL
Title or Position: PRESIDENT
Credential: MD
Phone: 313-295-7200