Rahul Agarwal, MD
Internal Medicine, Endocrinology, Diabetes & Metabolism in Fair Lawn, NJ. Individual provider (NPI-1).
NPI number1083051676
StatusActive
Last updated in NPPESOct 25, 2023
Details
- NPI
- 1083051676
- Entity type
- Individual (NPI-1)
- Name
- Rahul Agarwal
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 23, 2013
- Certification date
- Oct 25, 2023
- Last updated
- Oct 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | 25MA11409500 | NJ | Yes |
| 207R00000X | Internal Medicine | MT204530 | PA | |
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | 292576 | NY |
Practice location
31-00 BroadwayFair Lawn, NJ 07410-3963
Phone 201-268-7415 · Fax 551-455-6780
Mailing address
1 Diamond Hill RdBerkeley Heights, NJ 07922-2104
Phone 908-273-4300
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