Gautam Agrawal
Nephrologist
562 Shearer St Ste B104
Greensburg
, Pennsylvania 15601-2746
Gautam Agrawal
Nephrologist
562 Shearer St Ste B104
Greensburg
, Pennsylvania 15601-2746
(724) 836-8311
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Gautam Agrawal
- 562 Shearer St Ste B104
- Greensburg, PA
- Zip : 15601-2746
- Fax : (724) 836-8311
- Phone : (724) 836-8303
Second Address
- Gautam Agrawal
- 562 Shearer St Ste B104
- Greensburg, PA
- Zip : 15601-2746
- Fax : (724) 836-8311
- Phone : (724) 836-8303
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | MD454638 | PA |
National Provider Identifier
| NPI | 1063737070 |
|---|---|
| Provider Name | Gautam Agrawal |
| First Address | Greensburg, PA 15601-2746 |
| Second Address | Greensburg, PA 15601-2746 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2010 |
| Last Update Date | 02/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1030258100007 | (05) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.