MEDICARE: AJAY AGGARWAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	106H00000X	Marriage & Family Therapist
2	207L00000X	Anesthesiology Physician
3	207LP2900X	Pain Medicine (Anesthesiology) Physician
4	363L00000X	Nurse Practitioner
5	363LF0000X	Family Nurse Practitioner
6	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1730628116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AJAY AGGARWAL

Provider Business Mailing Address
First Line	:	1002 ALKIRE LAKE DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-3408
Country	:	US
Telephone Number	:	979-245-7246
Fax Number	:

Provider Business Practice Location Address
First Line	:	208 OAK DR S STE 500
Second Line	:
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-5789
Country	:	US
Telephone Number	:	979-245-7246
Fax Number	:	979-245-2415

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	AJAY AGGARWAL
Credential	:	MD
Telephone Number	:	979-245-7246

Provider Enumeration Date	:	02/17/2017
Last Update Date	:	11/14/2024

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Directions to “AJAY AGGARWAL ” Practice Location

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