Priyanka Agarwal MD PLLC

Organization Active NPI Endocrinology, Diabetes & Metabolism Physician · Irving, TX

NPI 1396370730 · NPPES record last updated May 17, 2020

Key facts

NPI
1396370730
Entity type
Organization (NPI type 2)
Primary specialty
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Legal business name
PRIYANKA AGARWAL MD PLLC
Practice address
7429 Las Colinas Blvd Ste 101
Irving, TX 75063-7573
Phone
(469) 442-0202
NPI assigned
Mar 5, 2020
Organization subpart
No

Authorized official

Name
Dr. Priyanka Agarwal, MD
Title
President
Phone
(715) 551-9009

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200604002147 TX Part B Supplier - Clinic/Group Practice 7719308493 Receives reassigned benefits from 1 practitioner
Practice locations: Irving, TX

National Provider Directory

Locations

7429 Las Colinas Blvd
Ste 101
Irving, TX 75063
Phone (469) 442-0202

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X
Endocrinology, Diabetes & Metabolism Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RE0101X Yes

Addresses

Primary practice location

7429 Las Colinas Blvd Ste 101
Irving, TX 75063-7573

Mailing address

8308 Charleston St
Irving, TX 75063-8000

Other names

  • Prime Endocrinology and Diabetes Doing business as

Other providers in Irving, TX

All providers in Irving, TX · Endocrinology, Diabetes & Metabolism Physician in Texas

Sources for this page

Verify at the official NPI Registry.