Physician Compare National (NPI:1275632887)

HEALTHCARE PROVIDER: DIMPLE AGARWAL M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1275632887
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507920196
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090127000066
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AGARWAL
	Individual professional last name
Provider First Name	DIMPLE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1180 N INDIAN CANYON DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE E420
	Group Practice or individual's line 2 address
City	PALM SPRINGS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	922624868
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7607787147
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050764
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SHASTA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050279
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HI-DESERT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050243
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	DESERT REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y