Agrawal, Siddhartha

Agrawal, Siddhartha is an individual health care provider with primary practice located at 1646 E Herndon Ave Ste 106 , Fresno CA 93720-3380. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Agrawal, Siddhartha can be contacted via phone (559) 746-9605.

Contact Information

Primary practice address
1646 E Herndon Ave Ste 106 Fresno CA 93720-3380
Phone: (559) 746-9605
Fax: (559) 558-8183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A102877 California

Profile Details

NPI number 1477761963
LBN Legal business name Agrawal, Siddhartha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Feb 11th, 2021 - about 3 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 1477761963 NPPES
California Other P00818901 MEDICARE RAILROAD PTAN
California MEDICAID 1477761963 MEDICARE RAILROAD PTAN

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