Provider Demographics
NPI:1568438570
Name:AGRAWAL, NARAYAN DAS (MD)
Entity Type:Individual
Prefix:DR
First Name:NARAYAN
Middle Name:DAS
Last Name:AGRAWAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:16040 78TH RD STE 300
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1945
Mailing Address - Country:US
Mailing Address - Phone:347-475-0911
Mailing Address - Fax:718-380-3441
Practice Address - Street 1:160 - 40 78TH ROAD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1526
Practice Address - Country:US
Practice Address - Phone:347-475-0911
Practice Address - Fax:718-380-3441
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY225128207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02559797Medicaid
NYI13772Medicare UPIN