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Individual
PRANJAL M AGRAWAL
Active
Individual
PRANJAL M AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-118796
IL
208M00000X
Hospitalist Physician
036-118796
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-118796
ILLINOIS PHYSICIAN & SURG
IL
05
—
036118796
—
IL
01
—
336-080021
ILLINOIS CONTROLLED SUBST
IL
01
—
80020007
MEDICARE PTAN
IL
01
—
K40163
MEDICARE PTAN
IL
Enumeration date
07/18/2007
Last updated
11/12/2024
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