Provider Demographics
NPI:1639875081
Name:REGAL GERIATRIC CARE
Entity Type:Organization
Organization Name:REGAL GERIATRIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJESH
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:AGARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-900-5112
Mailing Address - Street 1:701 GODDARD DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-8511
Mailing Address - Country:US
Mailing Address - Phone:717-900-5112
Mailing Address - Fax:
Practice Address - Street 1:5865 ROUTE 154
Practice Address - Street 2:
Practice Address - City:FORKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18616-8912
Practice Address - Country:US
Practice Address - Phone:570-924-3411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-06
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty