Provider Demographics
NPI:1548234800
Name:AGGARWAL, ACHAL (MD)
Entity type:Individual
Prefix:
First Name:ACHAL
Middle Name:
Last Name:AGGARWAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 NEPONSET ST FL STREET2
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2714
Mailing Address - Country:US
Mailing Address - Phone:508-832-5917
Mailing Address - Fax:508-832-5751
Practice Address - Street 1:385 SOUTHBRIDGE ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2498
Practice Address - Country:US
Practice Address - Phone:508-832-5917
Practice Address - Fax:508-832-5751
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA79030208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
043058466OtherTRICARE CHAMPUS
916010OtherFIRST HEALTH
042472266OtherONE HEALTH PLAN
2040544OtherCIGNA HEALTH PLAN
J14820OtherBLUE SHIELD HMO BLUE
26835OtherCHILDRENS MEDICAL SECURIT
3128989OtherWELFARE
991102OtherFALLON COMMUNITY HEALTH P
J14820OtherBLUE CARE ELECT
042472266OtherPRIVATE HEALTHCARE SYSTEM
4674196OtherAETNA US HEALTHCARE
J14820OtherMEDICARE B
042472266OtherTHREE RIVERS
MA3128989Medicaid
784234OtherMVP HEALTH CARE
AA1166OtherHARVARD PILGRIM HEALTHCAR
J14820OtherBLUE SHIELD INDEMNITY
043058466OtherHEALTHCARE VALUE MANAGEME
MAJ14820Medicare ID - Type Unspecified
J14820OtherMEDICARE B