Individual provider · NPI-1

Rajat N Agrawal, MD

Ophthalmology · Los Angeles, CA

NPI number1306097183
StatusActive
Last updated in NPPESOct 9, 2008

Details

NPI
1306097183
Entity type
Individual (NPI-1)
Name
Rajat N Agrawal
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 9, 2008
Last updated
Oct 9, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X OphthalmologyF 5491CAYes
207W00000X Ophthalmology2005-00491NC

Practice location

1450 San Pablo St
Dvrc 124
Los Angeles, CA 90033-4500

Phone 323-442-6776 · Fax 323-442-6755

Mailing address

77 Price St Apt D
Redlands, CA 92373-1427

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