Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | C53451 | CA |
NPI | 1043290778 |
---|---|
Provider Name | Atul A. Aggarwal |
First Address | Bakersfield, CA 93389-0898 |
Second Address | Bakersfield, CA 93311-3614 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 13/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00C534510 | (05) | CA |
00C534510 | BLUE SHIELD OF CA (01) | CA |
H83275 | (02) | |
P00756145 | MEDICARE RAILROAD (01) | CA |