NPI 1962661215 · live from the CMS NPI Registry
Pankaj Haribhai Agrawal, M.D.
Family Medicine in Pennsauken, NJ. National Provider Identifier 1962661215, active.
NPI record
| NPI | 1962661215 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 5615 Westfield Ave, Pennsauken, NJ 08110 |
| Practice phone | 856-488-1415 |
| Enumerated | June 2, 2008 |
| Last updated | June 2, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | MA036575 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.