Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | R4505 | TX |
N | 111NI0900X | Internist | R4505 | TX |
Y | 207RH0002X | Hospice and Palliative Medicine | R4505 | TX |
NPI | 1306280342 |
---|---|
Provider Name | Charu Agrawal |
First Address | Houston, TX 77030-4202 |
Second Address | Houston, TX 77030-4202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2013 |
Last Update Date | 23/10/2020 |