Provider Demographics
NPI:1548592165
Name:AGARWAL, ARCHANA (MBBS)
Entity Type:Individual
Prefix:
First Name:ARCHANA
Middle Name:
Last Name:AGARWAL
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 EATON PL STE 23
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1232
Mailing Address - Country:US
Mailing Address - Phone:508-363-6515
Mailing Address - Fax:508-363-7515
Practice Address - Street 1:1 EATON PL STE 23
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1232
Practice Address - Country:US
Practice Address - Phone:508-363-6515
Practice Address - Fax:508-363-7515
Is Sole Proprietor?:No
Enumeration Date:2010-02-07
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA243154208M00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist