Individual provider Active NPI

Chander Shekher Aggarwal, MD

  • Student in an Organized Health Care Education/Training Program
  • Little Rock, AR
National Provider Identifier
1245910355
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
4301 W Markham St
Little Rock, AR 72205-7101
Phone
(501) 686-7073
NPI assigned
Jul 24, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20230821004114 AR Order and Referring Only - Geriatric MedicinePractitioner - Geriatric Medicine 9133581267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: chander.aggarwal.1@13831.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4301 W Markham St
Little Rock, AR 72205-7101

Mailing address

308 S University Ave Apt 2102
Little Rock, AR 72205-5244
Phone (216) 800-6025

Other practice location 1

4300 W 7th St
Little Rock, AR 72205-5446
Phone (501) 686-7073

Other practice location 2

2200 Fort Roots Dr
North Little Rock, AR 72114-1709
Phone (501) 686-7073

Other practice location 3

500 Brookside Dr
Little Rock, AR 72205-1694
Phone (501) 686-7073

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2023.

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1245910355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S UNIVERSITY AVE APT 2102",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055244",
            "telephone_number": "216-800-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-7073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722055446",
            "country_code": "US",
            "telephone_number": "501-686-7073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Fort Roots Dr",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721141709",
            "country_code": "US",
            "telephone_number": "501-686-7073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Brookside Dr",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722051694",
            "country_code": "US",
            "telephone_number": "501-686-7073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGGARWAL",
        "first_name": "CHANDER SHEKHER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.