| Agra Medical Group Apc | |
|
7535 Laurel Canyon Blvd North Hollywood CA 91605-3149 | |
| (818) 570-5002 | |
| Not Available |
| Full Name | Agra Medical Group Apc |
|---|---|
| Speciality | Family Medicine |
| Location | 7535 Laurel Canyon Blvd, North Hollywood, California |
| Authorized Official Name and Position | Rashita Aggarwal (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8185705002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agra Medical Group Apc 7535 Laurel Canyon Blvd North Hollywood CA 91605-3149 Ph: (818) 570-5002 | Agra Medical Group Apc 7535 Laurel Canyon Blvd North Hollywood CA 91605-3149 Ph: (818) 570-5002 |
| NPI Number | 1417644360 |
|---|---|
| Provider Enumeration Date | 04/20/2023 |
| Last Update Date | 04/20/2023 |
| Medicare PECOS PAC ID | 7719343540 |
|---|---|
| Medicare Enrollment ID | O20230519001211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417644360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Malini Soogoor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659328185 PECOS PAC ID: 6709889710 Enrollment ID: I20060811000437 |
| Provider Name | Dr Maneesh Singhal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700017068 PECOS PAC ID: 5395993679 Enrollment ID: I20130403000225 |
| Provider Name | Rashita Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043522790 PECOS PAC ID: 4981830320 Enrollment ID: I20131113001750 |
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