NPIMap

Organization Active NPI

Radha Agarwal MD PC

  • Internal Medicine Physician
  • Natick, MA
National Provider Identifier
1003096348
Registry record updated Nov 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
77373 Issued in MA
Legal business name
RADHA AGARWAL MD PC
Practice address
67 Union St
Suite # 409
Natick, MA 01760-7700
Phone
(508) 650-5008
Fax
(508) 653-7633
NPI assigned
Nov 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Radha Agarwal, M.D.
Title
President/Owner
Phone
(508) 650-5008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 77373 MA Primary

Addresses

Primary practice location

67 Union St
Suite # 409
Natick, MA 01760-7700

Mailing address

67 Union St
Suite # 409
Natick, MA 01760-7700
Phone (508) 650-5008

Other identifiers 1

IdentifierTypeStateIssuer
9787259MedicaidMA

National Provider Directory

National Provider Directory

Locations

67 Union St
Ste 409
Natick, MA 01760
Phone (508) 650-5008

67 Union St
#409
Natick, MA 01760
Phone (508) 650-5008

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194048000000",
    "number": "1003096348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 UNION ST",
            "address_2": "SUITE # 409",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017607700",
            "telephone_number": "508-650-5008",
            "fax_number": "508-653-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 UNION ST",
            "address_2": "SUITE # 409",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017607700",
            "telephone_number": "508-650-5008",
            "fax_number": "508-653-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADHA AGARWAL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-03",
        "last_updated": "2007-11-03",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "RADHA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "508-650-5008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "77373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9787259",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.