Basic Information
Provider Information
NPI: 1417065228
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AGGARWAL
FirstName: SONA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2710 MIDDLEFIELD RD
Address2:  
City: REDWOOD CITY
State: CA
PostalCode: 940633404
CountryCode: US
TelephoneNumber: 6503666010
FaxNumber: 6503664732
Practice Location
Address1: 2710 MIDDLEFIELD RD
Address2:  
City: REDWOOD CITY
State: CA
PostalCode: 940633404
CountryCode: US
TelephoneNumber: 6503666010
FaxNumber: 6503664732
Other Information
ProviderEnumerationDate: 08/29/2006
LastUpdateDate: 06/25/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA85835CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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