Individual
RADHA AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
60198936
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-113005
STATE LICENSE
IL
05
—
036113005
—
IL
Enumeration date
07/11/2006
Last updated
03/09/2012
Update your record
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