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Individual

RADHA AGRAWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1135 116TH AVE NE, SUITE 600, BELLEVUE, WA 98004-4623
(425) 454-2671
(425) 990-5260
Mailing address
1135 116TH AVE NE, SUITE 600, BELLEVUE, WA 98004-4623
(425) 454-2671
(425) 990-5260

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
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