Individual
RAJESH AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6223 66TH STREET NORTH, PINELLAS PARK, FL 33781-5025
(727) 528-4900
(727) 528-8628
Mailing address
6223 66TH STREET NORTH, PINELLAS PARK, FL 33781-5025
(727) 528-4900
(727) 528-8628
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME68290
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110200401
MEDICARE RAILROAD INDIVIDUAL
FL
01
—
1467464990
GROUP NPI
FL
05
—
250206200
—
FL
05
—
261164300
—
FL
01
—
6000/211534
AVMED PROVIDER NUMBERS
—
01
—
CH2504
MEDICARE RAILROAD GROUP
FL
Enumeration date
12/28/2005
Last updated
09/09/2014
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