Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT204530 | PA |
N | 111NI0900X | Internist | MT204530 | PA |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 292576 | NY |
NPI | 1083051676 |
---|---|
Provider Name | Rahul Agarwal |
First Address | Philadelphia, PA 19104-5127 |
Second Address | New York, NY 10025-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2013 |
Last Update Date | 15/04/2019 |