MEDICARE: DR. AAKASH V. AGARWALA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	L-227994	MA
2	207L00000X	Anesthesiology Physician	A109608	CA

General Provider Information

NPI Number	:	1780710145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AAKASH V. AGARWALA MD

Provider Business Mailing Address
First Line	:	170 W DAYTON ST
Second Line	:	UNIT 1015
City	:	PASADENA
State	:	CA
Zip	:	91105-4541
Country	:	US
Telephone Number	:	951-751-8213
Fax Number	:

Provider Business Practice Location Address
First Line	:	170 W DAYTON ST
Second Line	:	UNIT 1015
City	:	PASADENA
State	:	CA
Zip	:	91105-4541
Country	:	US
Telephone Number	:	951-751-8213
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	05/12/2015

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