Individual
ABHINAV AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1003 S 5TH ST, TACOMA, WA 98405-4210
(253) 403-1677
(253) 403-1676
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
(253) 459-8009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301087472
MI
207R00000X
Internal Medicine Physician
Primary
MD60259007
WA
208M00000X
Hospitalist Physician
MD60259007
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-0F33636-0
BCBSM
MI
01
—
1346398971
GRP NPI
MI
01
—
20-5485614
TAX ID
MI
Enumeration date
05/22/2008
Last updated
02/01/2023
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