Aggarwal, Sourabh
Aggarwal, Sourabh is an individual health care provider with primary practice located at 9520 W Palm Ln Ste 150 , Phoenix AZ 85037-4454. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Aggarwal, Sourabh can be contacted via phone (602) 584-5444.Contact Information
Primary practice address
9520 W Palm Ln Ste 150
Phoenix AZ 85037-4454
Phone: (602) 584-5444
Fax: (602) 584-6202
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 58627 | Arizona |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 58627 | Arizona |
Profile Details
NPI number | 1154677417 |
---|---|
LBN Legal business name | Aggarwal, Sourabh |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 24th, 2012 |
Last updated | Oct 18th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154677417 | NPPES |
Arizona | MEDICAID | 545765 |
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