Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OEG002799 | PA |
NPI | 1013355288 |
---|---|
Provider Name | Dr. Prarthana Agrawal |
First Address | Philadelphia, PA 19144-5653 |
Second Address | King Of Prussia, PA 19406-2943 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2013 |
Last Update Date | 10/06/2013 |