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NPI Code Detail

MEDICARE: ASHUTOSH AGRAWAL MD

MEDICARE: ASHUTOSH 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
12085R0202XDiagnostic Radiology Physician2026-00826NC

General Provider Information

NPI Number : 1417586454
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHUTOSH AGRAWAL MD
Provider Business Mailing Address
First Line : PO BOX 63362
Second Line :
City : CHARLOTTE
State : NC
Zip : 28263-3362
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2301 ERWIN RD
Second Line :
City : DURHAM
State : NC
Zip : 27705-4699
Country : US
Telephone Number : 919-684-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2020
Last Update Date : 06/17/2026

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