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NPI Code Detail

MEDICARE: SHREE AGRAWAL

MEDICARE: SHREE AGRAWAL
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
1208800000XUrology Physician57.247117OH

General Provider Information

NPI Number : 1134682032
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHREE AGRAWAL
Provider Business Mailing Address
First Line : 9500 EUCLID AVE # NA-23
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 848-219-4839
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE # NA-23
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 848-219-4839
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2019
Last Update Date : 04/09/2019

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Directions to “ SHREE AGRAWAL ” Practice Location

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