Agarwal, Madhu R

Agarwal, Madhu R is an individual health care provider with primary practice located at 1200 California St Ste 140, Redlands CA 92374-2945. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Agarwal, Madhu R can be contacted via phone (909) 792-6000.

Contact Information

Primary practice address
1200 California St Ste 140 Redlands CA 92374-2945
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A73978 California

Profile Details

NPI number 1780609933
LBN Legal business name Agarwal, Madhu R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Aug 19th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780609933 NPPES
California MEDICAID 00A739780

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