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Organization

SCOTTSDALE PEDIATRICS AND PEDIATRIC NEPHROLOGY, PLLC

Active
Other names
Agave Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAJEEV AGARWAL M.D. (OWNER/MEDICAL DIRECTOR)
(480) 585-5200
Entity
Organization

Contact information

Practice address
7010 E CHAUNCEY LN STE 225, PHOENIX, AZ 85054-3117
(480) 585-5200
(480) 585-5233
Mailing address
7010 E CHAUNCEY LN STE 225, PHOENIX, AZ 85054-3117
(480) 585-5200
(480) 585-5233

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
33323
AZ
208000000X
Pediatrics Physician
Primary
2080P0210X
Pediatric Nephrology Physician
33323
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
333803
AZ
Enumeration date
07/13/2005
Last updated
09/02/2025
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