Rachna Agrawal, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

045785 Issued in CT

Practice address

365 Montauk Ave
New London, CT 06320-4700

Phone

(860) 271-4364

Fax

(860) 444-5114

NPI assigned

Sep 4, 2007

Last updated

Sep 4, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital Internists of New London, LLC

  • Hospitalist Physician
  • New London, CT
  • NPI 1659393775
  NPD (past)
• Physicians Health Alliance PA

  • Cardiovascular Disease Physician
  • Wayne, NJ
  • NPI 1528047842

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1285828160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-271-4364",
            "fax_number": "860-444-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-271-4364",
            "fax_number": "860-444-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "RACHNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "045785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "045785",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Absolute Respiratory Care LLC
• Tyler William Ackley, PHARMD
• Luke J Ackroyd, CRNA
• Theresa Adams, M.D.
• Syeda Kanza Afzal
• Clifford Aguele
• Melanie Aguilar-Valentin
• Angela Aguilar, LMSW
• Damian Joel Aguilar, IDC
• Sarah Ali, MS OTR/L

• Internal Medicine Physician in New London, CT
• Providers in New London, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.