MEDICARE: SHARAD AGRAWAL M.D.

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	207L00000X	Anesthesiology Physician	D0056789	MD
2	207L00000X	Anesthesiology Physician	MD 32603	DC

General Provider Information

NPI Number	:	1922036243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARAD AGRAWAL M.D.

Provider Business Mailing Address
First Line	:	7602 MCWEADON LANE
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22150
Country	:	US
Telephone Number	:	703-912-2939
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 IRVING STREET, NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2975
Country	:	US
Telephone Number	:	202-877-7500
Fax Number	:

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

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	07/08/2007

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