Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | C1-0003405 | DE |
NPI | 1053375337 |
---|---|
Provider Name | Dr. Brajesh Narayan Agarwal |
First Address | Villanova, PA 19085-1023 |
Second Address | Wilmington, DE 19805-4917 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 08/07/2007 |