1427041987 NPI number — ALKA AGGARWAL MD

Table of content: ALKA AGGARWAL MD (NPI 1427041987)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427041987 NPI number — ALKA AGGARWAL MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AGGARWAL
Provider First Name:
ALKA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427041987
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/11/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
24 HOSPITAL AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DANBURY
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06810-6099
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-739-6959
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24 HOSPITAL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DANBURY
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06810-6099
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-739-6959
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/30/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  51881 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 10110710-U104 . This is a "CDPHP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4830R1 . This is a "EMPIRE BC-BS" identifier . This identifiers is of the category "OTHER".
  • Identifier: P3506906 . This is a "OXFORD HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 050923000060 . This is a "FIDELIS CARE OF NY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2590214 . This is a "GHI PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7297560 . This is a "AETNA-PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000087400 . This is a "GHI-HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 388165 . This is a "MVP HEALTHPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3C5202 . This is a "HEALTHNET-GROUP ID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3760523 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".




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