Pranjal Agrawal
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Baltimore, MD
NPI 1639830201 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1639830201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 600 N Wolfe St
Baltimore, MD 21287-0005 - Phone
- (410) 955-5000
- NPI assigned
- Jan 6, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240614002933 | MD | Order and Referring Only - Urology |
4688117914 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
600 N Wolfe St
Baltimore, MD 21287-0005
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-2704
Other providers in Baltimore, MD
- Anna V. Agranovich
- Anshuman Agrawal
- Ashok K Agrawal
- Devika Agrawal
- Parth Agrawal
- Priya Agrawal
- Rashi Agrawal
- Ritika Agrawal
- Simran Agrawal
- Monica Agree
All providers in Baltimore, MD · Student in an Organized Health Care Education/Training Program in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.