Individual provider · NPI-1
Abhishek Agarwal, M.D.
Family Medicine · Roseville, CA
NPI number1124257407
StatusActive
Last updated in NPPESAug 20, 2024
Details
- NPI
- 1124257407
- Entity type
- Individual (NPI-1)
- Name
- Abhishek Agarwal
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 8, 2009
- Certification date
- Aug 20, 2024
- Last updated
- Aug 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | C149729 | CA | Yes |
| 207QA0505X | Family Medicine, Adult Medicine | MD.204015 | LA | |
| 207QA0505X | Family Medicine, Adult Medicine | 002494 | GA | |
| 208M00000X | Hospitalist | C149729 | CA |
Practice location
1 Medical Plaza DrRoseville, CA 95661
Phone 916-781-1927 · Fax 916-781-1787
Mailing address
Po Box 45680San Francisco, CA 94145-8824
Phone 530-626-2787
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