Individual
DR. ATU AGAWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. M.P.H
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD464218
PA
2080P0206X
Pediatric Gastroenterology Physician
MT208138
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035057440001
—
PA
Enumeration date
06/04/2015
Last updated
11/16/2022
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