Individual provider · NPI-1

Ravi Agrawal, M.B.B.S

Internal Medicine, Nephrology · Bethlehem, PA

NPI number1396973178
StatusActive
Last updated in NPPESJun 2, 2020

Details

NPI
1396973178
Entity type
Individual (NPI-1)
Name
Ravi Agrawal
Credential
M.B.B.S
Sex
Male
Sole proprietor
No
Enumeration date
Jun 30, 2009
Certification date
Jun 2, 2020
Last updated
Jun 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, NephrologyMD446071PAYes
207R00000X Internal MedicineMD446071PA
207RN0300X Internal Medicine, Nephrology25MA10257500NJ

Practice location

834 Eaton Ave Ste 301
Bethlehem, PA 18018-1832

Phone 484-526-7780 · Fax 833-816-7518

Mailing address

834 Eaton Ave Ste 301
Bethlehem, PA 18018-1832

Phone 484-526-7780 · Fax 833-816-7518

Other practice locations

30 Community Dr
Easton, PA 18045-2669

Phone 610-252-6950

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