Shivaansh Aggarwal, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

43616 Issued in OK

Practice address

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

Phone

(405) 271-4113

NPI assigned

May 19, 2023

Reactivated

Feb 29, 2024

Last updated

Aug 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: saggarwal641411@direct.ochin.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1710678669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 STANTON L YOUNG BLVD STE 2040",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045036",
            "telephone_number": "405-271-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 STANTON L YOUNG BLVD STE 2040",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045036",
            "telephone_number": "405-271-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGGARWAL",
        "first_name": "SHIVAANSH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-19",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "deactivation_date": "2023-12-21",
        "reactivation_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "43616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Paul Agee, AGPCNP-BC
• Ageless Family Medicine LLC (Checkup Medical Clinic)
• Natalie Agers
• Indu Aggarwal
• Ruchi Aggarwal, M.D.
• Agility Medical Group
• Unknown Agnes Nahsang Voma
• Kavina Michele Agnew
• Ifeanyi Godwin Ago-Amaechi
• Mukta Dilipkumar Agrawal, M.D.

• Neurology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Neurology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.