Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | R5347 | TX |
N | 2080P0202X | Pediatric Cardiologist | R5347 | TX |
NPI | 1225396724 |
---|---|
Provider Name | Dr. Nimisha Aggarwal |
First Address | Dallas, TX 75261-2526 |
Second Address | Irving, TX 75062-3651 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2012 |
Last Update Date | 31/01/2019 |