Individual provider · NPI-1

Shivaansh Aggarwal, M.D.

Psychiatry & Neurology, Neurology · Oklahoma City, OK

NPI number1710678669
StatusActive
Last updated in NPPESAug 15, 2024

Details

NPI
1710678669
Entity type
Individual (NPI-1)
Name
Mr. Shivaansh Aggarwal
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 19, 2023
Certification date
Aug 15, 2024
Last updated
Aug 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology43616OKYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

920 Stanton L Young Blvd Ste 2040
Oklahoma City, OK 73104-5036

Phone 405-271-4113

Mailing address

920 Stanton L Young Blvd Ste 2040
Oklahoma City, OK 73104-5036

Phone 405-271-4113

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