Provider Demographics
NPI:1679816821
Name:AGRAWAL, RAM NARAIN (MD)
Entity Type:Individual
Prefix:DR
First Name:RAM
Middle Name:NARAIN
Last Name:AGRAWAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2045 WABEEK HILL CT
Mailing Address - Street 2:CARE DR.S. KHANEJA
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-1657
Mailing Address - Country:US
Mailing Address - Phone:517-416-3798
Mailing Address - Fax:
Practice Address - Street 1:2045 WABEEK HILL CT
Practice Address - Street 2:CARE DR.S. KHANEJA
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-1657
Practice Address - Country:US
Practice Address - Phone:517-416-3798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301031328208600000X, 2086X0206X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery