Individual
SANJAY AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814-1422
(301) 896-7500
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(551) 206-7821
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C131031
CA
208M00000X
Hospitalist Physician
Primary
D87666
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0284454
L&I
WA
05
—
1346200391
—
WA
01
—
G8904274
MEDICARE PTAN
WA
01
—
P00978479
RR MEDICARE
WA
Enumeration date
03/24/2006
Last updated
02/05/2020
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