Provider Demographics
NPI:1023026036
Name:AGRAWAL, ANJULA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANJULA
Middle Name:
Last Name:AGRAWAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 MACARTHUR CT NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3343
Mailing Address - Country:US
Mailing Address - Phone:202-362-4494
Mailing Address - Fax:202-362-4494
Practice Address - Street 1:5215 LOUGHBORO RD NW
Practice Address - Street 2:SUITE 530
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2618
Practice Address - Country:US
Practice Address - Phone:202-895-0050
Practice Address - Fax:202-895-0051
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMP21871207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
54360003OtherBCBS
58624632321501OtherAETNA
G40382Medicare UPIN
54360003OtherBCBS