| NPI | 1629076518 |
|---|---|
| Doing Business As | AGAVE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | RAJEEV AGARWAL Owner/Medical Director 480-585-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 33323) |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: AZ 33323) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2012-03-27 |