Individual
GAUTAM AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D , M.P.H
Contact information
Practice address
1275 S MAIN ST STE 202, GREENSBURG, PA 15601-5385
(724) 836-8303
(724) 836-8311
Mailing address
575 COAL VALLEY RD STE 204, CLAIRTON, PA 15025-3724
(412) 466-2220
(412) 466-4048
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD454638
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030258100007
—
PA
Enumeration date
04/01/2010
Last updated
05/17/2024
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