Active NPIIndividual provider

Sourabh Aggarwal, MD

Internal Medicine, Interventional Cardiology in Phoenix, Arizona

NPI Number1154677417
Practice location
9520 W Palm Ln Ste 150, Phoenix, AZ 85037-4454
Fax
602-584-6202
Last updated
October 18, 2021

Sourabh Aggarwal, MD is a Internal Medicine, Interventional Cardiology based in Phoenix, AZ. Sourabh Aggarwal, MD holds the professional credentials of MD. The NPI number for Sourabh Aggarwal, MD is 1154677417 and holds license No. 58627 (AZ). The current practice location address is 9520 W Palm Ln Ste 150, Phoenix, AZ 85037-4454 and the office can be reached by phone at 602-584-5444 and by fax at 602-584-6202. The NPI was assigned on July 24, 2012 and the record was last updated in NPPES on October 18, 2021.

●Provider Profile Details

NPI Number
1154677417
Provider Name
Sourabh Aggarwal
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Internal Medicine, Interventional Cardiology · 207RI0011X
Sole Proprietor
No
Enumeration Date
July 24, 2012
Last Update Date
October 18, 2021
Certification Date
October 18, 2021
NPI Status
Active

◉Business Practice Location Address

Address
9520 W Palm Ln Ste 150
Phoenix, AZ 85037-4454
State
Arizona
ZIP
85037-4454
Country
US
Phone Number
602-584-5444
Fax Number
602-584-6202

Get directions →

✉Business Mailing Address

Address
9520 W Palm Ln Ste 150
Phoenix, AZ 85037-4454
City
Phoenix
State
AZ
ZIP
85037-4454
Phone Number
602-584-5444
Fax Number
602-584-6202

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Internal Medicine, Cardiovascular Disease207RC0000XNo58627AZ
Internal Medicine, Interventional Cardiology207RI0011XYes58627AZ

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Sourabh Aggarwal, MD?

The NPI number of Sourabh Aggarwal, MD is 1154677417. It was assigned on July 24, 2012 and is currently active in the NPPES registry.

What is the specialty of Sourabh Aggarwal, MD?

Sourabh Aggarwal, MD is registered under the primary taxonomy Internal Medicine, Interventional Cardiology (code 207RI0011X) and holds license No. 58627 (AZ).

Where does Sourabh Aggarwal, MD practice?

The practice location is 9520 W Palm Ln Ste 150, Phoenix, AZ 85037-4454. The office can be reached at 602-584-5444 (phone) or 602-584-6202 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154677417 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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