Healthcare Provider Details

I. General information

NPI: 1750511051
Provider Name (Legal Business Name): RISHI AGARWAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2009
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10460 N 92ND ST STE 400
SCOTTSDALE AZ
85258-4548
US

IV. Provider business mailing address

2500 W UTOPIA RD STE 100
PHOENIX AZ
85027-4172
US

V. Phone/Fax

Practice location:
  • Phone: 623-238-7630
  • Fax: 480-278-8828
Mailing address:
  • Phone: 623-682-4462
  • Fax: 623-683-4963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number65228
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: