Individual
BHARAT L AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 N PARK ST, KALAMAZOO, MI 49007-3731
(269) 373-7449
(269) 373-0123
Mailing address
200 N PARK ST, KALAMAZOO, MI 49007-3731
(269) 373-7449
(269) 373-0123
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
01034223A
IN
207RH0003X
Hematology & Oncology Physician
35-05-4332A
OH
207RH0003X
Hematology & Oncology Physician
Primary
4301035671
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100256820
—
IN
01
—
1447261730
BCBSM - WMCC
MI
05
—
1568418358
—
MI
05
—
636128
—
OH
Enumeration date
05/25/2006
Last updated
05/09/2012
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