Provider Demographics
NPI:1013391432
Name:RAJESH AGARWAL, LLC
Entity Type:Organization
Organization Name:RAJESH AGARWAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL MEDICINE DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAJESH
Authorized Official - Middle Name:
Authorized Official - Last Name:AGARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-312-9041
Mailing Address - Street 1:4110 WARRENSVILLE CENTER RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7024
Mailing Address - Country:US
Mailing Address - Phone:440-312-9041
Mailing Address - Fax:216-991-4587
Practice Address - Street 1:4110 WARRENSVILLE CENTER RD
Practice Address - Street 2:SUITE 300
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-7024
Practice Address - Country:US
Practice Address - Phone:440-312-9041
Practice Address - Fax:216-991-4587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care