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
Fax: (253) 404-0506
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710912894 NPPES
Washington Other MD00040323 LICENSE
Washington MEDICAID 8519878 LICENSE

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