Individual provider · NPI-1
Gaurav Agarwal, MD
Internal Medicine, Nephrology · Merrillville, IN
NPI number1033432109
StatusActive
Last updated in NPPESJun 1, 2022
Details
- NPI
- 1033432109
- Entity type
- Individual (NPI-1)
- Name
- Gaurav Agarwal
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2010
- Certification date
- Jun 1, 2022
- Last updated
- Jun 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 01076404A | IN | Yes |
| 207R00000X | Internal Medicine | 125053946 | IL | |
| 207RN0300X | Internal Medicine, Nephrology | 036133200 | IL |
Practice location
6061 BroadwayMerrillville, IN 46410-2619
Phone 219-884-2640 · Fax 219-884-2810
Mailing address
120 W 22nd St Ste 200Oak Brook, IL 60523-1563
Phone 630-517-5120
Other practice locations
1901 W Harrison St
Chicago, IL 60612-3714
Chicago, IL 60612-3714
Phone 312-864-6000
1705 W 25th Ave Ste 102
Gary, IN 46404-3544
Gary, IN 46404-3544
Phone 219-884-2011 · Fax 219-884-0211
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