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 | 2024-10-24 |