Organization
CHANDRAHAS AGARWAL M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRAHAS AGARWAL M.D. (PRESIDENT)
(909) 620-0900
Entity
Organization
Contact information
Practice address
8287 WHITE OAK AVE, RANCHO CUCAMONGA, CA 91730-7671
(909) 476-0808
(909) 476-0811
Mailing address
8287 WHITE OAK AVE, RANCHO CUCAMONGA, CA 91730-7671
(909) 476-0808
(909) 476-0811
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A43186
CA
207RI0011X
Interventional Cardiology Physician
A43186
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A431861
—
CA
01
—
110085256
RAILROAD MEDICARE
CA
01
—
1528014172
INDIVIDUAL NPI NUMBER
CA
Enumeration date
07/09/2006
Last updated
03/17/2018
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