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Individual

SANJAY AGRAWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3209 S 23RD ST, STE 340, TACOMA, WA 98405-1602
(253) 272-8148
(253) 404-0506
Mailing address
3209 S 23RD ST STE 200, TACOMA, WA 98405-1602
(253) 272-8148
(253) 404-0506

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00040323
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8519878
WA
01
MD00040323
LICENSE
WA
Enumeration date
07/11/2006
Last updated
03/02/2022
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