Agrawal, Radhika Abhishek

Agrawal, Radhika Abhishek is an sole proprietor health care provider with primary practice located at 80 Phoenix Ave Suite 201, Waterbury CT 06702-1418. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Agrawal, Radhika Abhishek can be contacted via phone (203) 756-8021.

Contact Information

Primary practice address
80 Phoenix Ave Suite 201 Waterbury CT 06702-1418
Phone: (203) 756-8021
Fax: (203) 596-9038
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 052533 Connecticut

Profile Details

NPI number 1285918979
LBN Legal business name Agrawal, Radhika Abhishek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2011
Last updated Jul 30th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285918979 NPPES
Connecticut MEDICAID 008041736

Popular Providers