MEDICARE: NEAL KUMAR AGARWAL 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
1	207P00000X	Emergency Medicine Physician	MMIS 00243903	NY
2	207R00000X	Internal Medicine Physician	001815	GA
3	207R00000X	Internal Medicine Physician	MD.29720	AL
4	208M00000X	Hospitalist Physician	MD.29720	AL
5	207P00000X	Emergency Medicine Physician	N4885	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	511-07853	OTHER	AL	BCBS
2	Z10657	OTHER	AL	VIVA HEALTH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	511-07839	OTHER	AL	BCBS
5	119490587	OTHER	AL	TRICARE SOUTH
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194905877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEAL KUMAR AGARWAL MD

Provider Business Mailing Address
First Line	:	7051 FM 1464 RD
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-9542
Country	:	US
Telephone Number	:	128-176-6381
Fax Number	:

Provider Business Practice Location Address
First Line	:	7051 FM 1464 RD RM 317
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-9542
Country	:	US
Telephone Number	:	128-176-6381
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2007
Last Update Date	:	03/28/2023

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Directions to “ NEAL KUMAR AGARWAL MD” Practice Location

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