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Individual
SANJAY AGARWAL
Active
Individual
SANJAY AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C131031
CA
208M00000X
Hospitalist Physician
Primary
D87666
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0284454
L&I
WA
05
—
1346200391
—
WA
01
—
G8904274
MEDICARE PTAN
WA
01
—
P00978479
RR MEDICARE
WA
Enumeration date
03/24/2006
Last updated
02/05/2020
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