MEDICARE: DR. MURLI M 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	207RC0000X	Cardiovascular Disease Physician	123000	NY

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

General Provider Information

NPI Number	:	1295836997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MURLI M AGRAWAL MD

Provider Business Mailing Address
First Line	:	1800 VETERANS BULV
Second Line	:	V A MEDICAL CENTER
City	:	DUBLIN
State	:	GA
Zip	:	31021-3000
Country	:	US
Telephone Number	:	478-272-1210
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 VETERANS BULV
Second Line	:	V A MEDICAL CENTER
City	:	DUBLIN
State	:	GA
Zip	:	31021-3000
Country	:	US
Telephone Number	:	478-272-1210
Fax Number	:

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	06/13/2014

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