Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 173130 | NY |
N | 2080N0001X | Neonatal-Perinatal Doctor | 173130 | NY |
NPI | 1083701171 |
---|---|
Provider Name | Bajrang L Agarwal |
First Address | New York, NY 10021-4870 |
Second Address | Bronxville, NY 10708-3403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01235423 | (05) | NY |