NPIMap

Organization Active NPI

Krishan K Aggarwal, MD MRCP Inc

  • Internal Medicine Physician
  • Weirton, WV
National Provider Identifier
1891723490
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11400 Issued in WV
Legal business name
KRISHAN K AGGARWAL, MD MRCP INC
Practice address
3710 Pennsylvania Ave
Weirton, WV 26062-4129
Phone
(304) 723-2430
Fax
(304) 721-3248
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Dr. Krishan K Aggarwal, MD
Title
Owner
Phone
(304) 723-2430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 11400 WV Primary

Addresses

Primary practice location

3710 Pennsylvania Ave
Weirton, WV 26062-4129

Mailing address

3710 Pennsylvania Ave
Weirton, WV 26062-4129
Phone (304) 723-2430

Other identifiers 2

IdentifierTypeStateIssuer
2634251MedicaidOH
3810004807MedicaidWV

National Provider Directory

National Provider Directory

Locations

4697 Harrison St
Fl Second
Bellaire, OH 43906
Phone (470) 671-1438

3150 Johnson Rd
Ste D
Steubenville, OH 43952
Phone (740) 264-2200

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1891723490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 PENNSYLVANIA AVE",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624129",
            "telephone_number": "304-723-2430",
            "fax_number": "304-721-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 PENNSYLVANIA AVE",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624129",
            "telephone_number": "304-723-2430",
            "fax_number": "304-721-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHAN K AGGARWAL, MD MRCP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "KRISHAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-723-2430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "11400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2634251",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004807",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.