Healthcare Provider Details

I. General information

NPI: 1114244324
Provider Name (Legal Business Name): SUNIL KUMAR AGGARWAL MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2010
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 EASTLAKE AVE E STE 115
SEATTLE WA
98102-3084
US

IV. Provider business mailing address

1136 POPLAR PL S
SEATTLE WA
98144-2834
US

V. Phone/Fax

Practice location:
  • Phone: 206-420-1321
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081H0002X
TaxonomyHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
License NumberMD60551101
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: