Basic Information
| Provider Information | |||||||||
| NPI: | 1053375337 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AGARWAL | ||||||||
| FirstName: | BRAJESH | ||||||||
| MiddleName: | NARAYAN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 503 VAN LEARS RUN | ||||||||
| Address2: | |||||||||
| City: | VILLANOVA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190851023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3026335302 | ||||||||
| FaxNumber: | 3026335582 | ||||||||
| Practice Location | |||||||||
| Address1: | 1601 KIRKWOOD HWY | ||||||||
| Address2: | MEDICAL SERVICE (111) | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198054917 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3026335302 | ||||||||
| FaxNumber: | 3026335582 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/14/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | C1-0003405 | DE | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.