Reena Modi Agrawal, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A101328 Issued in CA

Practice address

300 Pasteur Dr
Edwards Building, Room R107, MC 5336
Palo Alto, CA 94305-2200

Phone

(650) 723-1410

Fax

(650) 498-7546

NPI assigned

Feb 26, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1720257520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DRIVE",
            "address_2": "EDWARDS BUILDING, ROOM R107, MC 5336",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943055336",
            "telephone_number": "650-723-1410",
            "fax_number": "650-498-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "EDWARDS BUILDING, ROOM R107, MC 5336",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-1410",
            "fax_number": "650-498-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "REENA",
        "middle_name": "MODI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A101328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lusine Aghajanova, MD
• Agile Physical Therapy Inc
• Alfredo Agorilla
• Dipti Agrawal, MD
• Puja Agrawal, MD, PHD
• Ogoegbunam Agubuzu, M.D.
• Fatima Aguila II
• Shekinah Aguilar-Davis, RN
• Holly Anne Aguilar, M.D.
• Marisela Aguilar, MD

• Physical Medicine & Rehabilitation Physician in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.