DR. JUSTIN VINOD AICKARETH MD - NPI 1053105973 - Student in an Organized Health Care Education/Training Program in San Antonio, TX

Q: What is Justin Aickareth's NPI number?

The NPI number for Justin Aickareth is 1053105973. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Q: What is Justin Aickareth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Aickareth was last updated on April 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Dr. Justin Vinod Aickareth Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUSTIN VINOD AICKARETH MD (NPI 1053105973) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1053105973

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JUSTIN VINOD AICKARETHCredential: MD

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address7703 Floyd Curl DrSan Antonio, TX 78229-3901

Phone(210) 358-3555

Fax(210) 702-4239

Sole ProprietorNo

Enumeration DateApril 7, 2025

Last NPPES UpdateApril 21, 2025

NPPES CertifiedApril 21, 2025

✔ NPI 1053105973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4502 MEDICAL DR, San Antonio, TX 78229

Open in Google Maps ↗