Basic Information
Provider Information
NPI: 1235495292
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AGRAWAL
FirstName: NEERAJ
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 GREENWAY PLZ
Address2: STE 900
City: HOUSTON
State: TX
PostalCode: 770460205
CountryCode: US
TelephoneNumber: 7137981750
FaxNumber: 7137984693
Practice Location
Address1: 3550 SWINGLE RD
Address2:  
City: HOUSTON
State: TX
PostalCode: 770473763
CountryCode: US
TelephoneNumber: 7135471067
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/04/2012
LastUpdateDate: 10/18/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/18/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XBP10042710TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
208000000XBP10042710TXN Allopathic & Osteopathic PhysiciansPediatrics 
208M00000XP8439TXN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000XP8439TXY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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