Agarwala, Sanjiv S

Agarwala, Sanjiv S is an individual health care provider with primary practice located at 801 Ostrum Street , Bethlehem PA 18015-1000. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Agarwala, Sanjiv S can be contacted via phone (484) 526-2140.

Contact Information

Primary practice address
801 Ostrum Street Bethlehem PA 18015-1000
Fax: (484) 526-6055
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD052173L Pennsylvania
Other Service Providers / Specialist 174400000X MD051748L Pennsylvania

Profile Details

NPI number 1275505612
LBN Legal business name Agarwala, Sanjiv S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Sep 20th, 2011 - about 14 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 1275505612 NPPES
Pennsylvania MEDICAID 001467202

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