Individual
GAURAV AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6061 BROADWAY, MERRILLVILLE, IN 46410-2619
(219) 884-2640
(219) 884-2810
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 517-5120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125053946
IL
207RN0300X
Nephrology Physician
Primary
01076404A
IN
207RN0300X
Nephrology Physician
036133200
IL
Other
Enumeration date
03/03/2010
Last updated
06/01/2022
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