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DR. RENUKA AGRAWAL M.D.
Hematology >> Pathology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1174733059
Individual Registrant:DR. RENUKA AGRAWAL M.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
31 COLUMBIA ALISO VIEJO, CA 92656-1460 US
Tel: 949-643-7460 Fax: 949-425-5865
Tel: 949-643-7460 Fax: 949-425-5865
Contact information for business:
31 COLUMBIA ALISO VIEJO, CA 92656-1460 US
Tel: 949-643-7460 Fax: 949-425-5865
Tel: 949-643-7460 Fax: 949-425-5865
Registration Information:
NPI: 1174733059
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207ZH0000X | Allopathic & Osteopathic Physicians Pathology Hematology | CA | A102411 |
| Y | 207ZP0102X | Allopathic & Osteopathic Physicians Pathology | CA | A102411 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
