Individual
DR. PRADEEP KUMAR AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13460 N 94TH DR STE J-1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168
Mailing address
13460 N 94TH DR STE J-1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
14749R
LA
207RI0011X
Interventional Cardiology Physician
Primary
36655
AZ
207RI0011X
Interventional Cardiology Physician
A66262
CA
207RI0011X
Interventional Cardiology Physician
MD9949
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z201190
MEDICARE PIN-CARDIAC SOLUTIONS
AZ
Enumeration date
03/14/2006
Last updated
05/15/2019
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