Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 9600417 | NC |
Y | 207RX0202X | Medical Oncology | 9600417 | NC |
NPI | 1336189174 |
---|---|
Provider Name | Neeraj R Agrawal |
First Address | Charlotte, NC 28263-3362 |
Second Address | Raleigh, NC 27609-7340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 16/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8910422 | (05) | NC |
G27630 | (02) |