Agrawal, Sanjay
Agrawal, Sanjay is an individual health care provider with primary practice located at 3209 S 23Rd St Ste 340, Tacoma WA 98405-1602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Agrawal, Sanjay can be contacted via phone (253) 272-8148.Contact Information
Primary practice address
3209 S 23Rd St Ste 340
Tacoma WA 98405-1602
Phone: (253) 272-8148
Fax: (253) 404-0506
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD00040323 | Washington |
Profile Details
NPI number | 1710912894 |
---|---|
LBN Legal business name | Agrawal, Sanjay |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 11th, 2006 |
Last updated | Mar 2nd, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710912894 | NPPES |
Washington | Other | MD00040323 | LICENSE |
Washington | MEDICAID | 8519878 | LICENSE |
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