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Individual

RUCHIR AGRAWAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
43561
WI
208000000X
Pediatrics Physician
43561
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003130521D&E
GA
05
34123200
WI
Enumeration date
10/05/2006
Last updated
07/21/2022
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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