MEDICARE: SIMRAN AGRAWAL MBBS

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	207R00000X	Internal Medicine Physician	D0105961	MD

General Provider Information

NPI Number	:	1659069821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMRAN AGRAWAL MBBS

Provider Business Mailing Address
First Line	:	3700 TOONE ST APT 2339
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21224-5176
Country	:	US
Telephone Number	:	737-334-7895
Fax Number	:	410-554-2184

Provider Business Practice Location Address
First Line	:	MEDSTAR UNION HOSPITAL
Second Line	:	201 E UNIVERSITY PARKWAY
City	:	BALTIMORE
State	:	MD
Zip	:	21218
Country	:	US
Telephone Number	:	410-554-2284
Fax Number	:	410-554-2184

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

Provider Enumeration Date	:	04/26/2023
Last Update Date	:	04/14/2026

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