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NPI Code Detail

MEDICARE: DR. SHEFALI AGRAWAL MD

MEDICARE: DR. SHEFALI AGRAWAL 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
1174400000XSpecialist233335NY

General Provider Information

NPI Number : 1942205133
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHEFALI AGRAWAL MD
Provider Business Mailing Address
First Line : PO BOX 827783
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19182-7783
Country : US
Telephone Number : 215-707-3133
Fax Number : 215-707-3945
Provider Business Practice Location Address
First Line : 3401 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-5103
Country : US
Telephone Number : 215-707-3133
Fax Number : 215-707-3945
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 01/27/2010

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