Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD455853 | PA |
N | 111NI0900X | Internist | MD455853 | PA |
N | 207RC0200X | Critical Care Medicine | MD455853 | PA |
Y | 207RP1001X | Pulmonary Disease | MD455853 | PA |
NPI | 1063766574 |
---|---|
Provider Name | Dr. Pallak Agarwal |
First Address | Wyomissing, PA 19610-3333 |
Second Address | Wyomissing, PA 19610-4238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2012 |
Last Update Date | 26/02/2021 |