MEDICARE: SAURABH AGRAWAL 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	207RT0003X	Transplant Hepatology Physician	ME129332	FL
2	207RG0100X	Gastroenterology Physician	ME129332	FL
3	207RI0008X	Hepatology Physician	ME129332	FL
4	207RG0100X	Gastroenterology Physician	01070995A	IN
5	207R00000X	Internal Medicine Physician	57.009877	OH
6	207R00000X	Internal Medicine Physician	01070995A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194990499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAURABH AGRAWAL MD

Provider Business Mailing Address
First Line	:	1717 S ORANGE AVE STE 103
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-2946
Country	:	US
Telephone Number	:	321-841-4344
Fax Number	:	321-843-1753

Provider Business Practice Location Address
First Line	:	1717 S ORANGE AVE STE 103
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-2946
Country	:	US
Telephone Number	:	321-841-4344
Fax Number	:	321-843-1753

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

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	01/05/2026

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Directions to “ SAURABH AGRAWAL MD” Practice Location

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