Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | A90889 | CA |
NPI | 1013029586 |
---|---|
Provider Name | Shelley Aggarwal |
First Address | Palo Alto, CA 94304-1511 |
Second Address | Palo Alto, CA 94304-1511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/12/2014 |