NPI 1306097183 · live from the CMS NPI Registry
Rajat N Agrawal, MD
Ophthalmology in Los Angeles, CA. National Provider Identifier 1306097183, active.
NPI record
| NPI | 1306097183 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1450 San Pablo St, Dvrc 124, Los Angeles, CA 90033 |
| Practice phone | 323-442-6776 |
| Mailing address | 77 Price St Apt D, Redlands, CA 92373 |
| Enumerated | October 9, 2008 |
| Last updated | October 9, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | F 5491 (CA) |
| Ophthalmology | 207W00000X | 2005-00491 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.