Agrawal, Gautam
Agrawal, Gautam is an individual health care provider with primary practice located at 1275 S Main St Ste 202 , Greensburg PA 15601-5385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Agrawal, Gautam can be contacted via phone (724) 836-8303.Contact Information
Primary practice address
1275 S Main St Ste 202
Greensburg PA 15601-5385
Phone: (724) 836-8303
Fax: (724) 836-8311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD454638 | Pennsylvania |
Profile Details
| NPI number | 1063737070 |
|---|---|
| LBN Legal business name | Agrawal, Gautam |
| Credentials | M.D , M.P.H |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2010 |
| Last updated | May 17th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063737070 | NPPES |
| Pennsylvania | MEDICAID | 1030258100007 |
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