Individual
RAJIV AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1481 W 10TH ST # C3004, INDIANAPOLIS, IN 46202-2803
(317) 988-2633
(317) 988-2171
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01043603A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200052680
—
IN
01
—
390003554
RAILROAD MEDICARE
IN
Enumeration date
04/20/2006
Last updated
11/19/2020
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