Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A142749 | CA |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A142749 | CA |
N | 207VG0400X | Gynecologist | A142749 | CA |
N | 207VX0000X | Obstetrician | A142749 | CA |
NPI | 1790179661 |
---|---|
Provider Name | Dr. Anubhav Agrawal |
First Address | Fresno, CA 93721-1431 |
Second Address | Clovis, CA 93611-4028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2015 |
Last Update Date | 18/09/2021 |