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NPI Code Detail

MEDICARE: ANJALI AGRAWAL P.A.

MEDICARE: ANJALI AGRAWAL P.A.
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
1363A00000XPhysician AssistantPA 20756CA

General Provider Information

NPI Number : 1023340379
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANJALI AGRAWAL P.A.
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 702-579-3203
Fax Number :
Provider Business Practice Location Address
First Line : 450 E HUNTINGTON DR
Second Line :
City : ARCADIA
State : CA
Zip : 91006-3748
Country : US
Telephone Number : 626-462-1884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2010
Last Update Date : 03/11/2026

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Directions to “ ANJALI AGRAWAL P.A.” Practice Location

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