REKHA AGRAWAL (NPI# 1205802071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205802071 |
Entity Type | Individual |
Full Name | REKHA AGRAWAL |
Credential | MD |
Practice Address |
2160 S First Ave Maguire Center, Rm 3307 Maywood IL 60153 |
Practice Telephone | 7082164403 |
Practice Fax Number | 7082163375 |
Mailing Telephone | 7082164403 |
Mailing Fax Number | 7082163375 |
Enumeration Date | 2006-02-23 |
Last Update Date | 2009-07-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
36067580 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 36067580 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073638797 | Rekha Agrawal | Internal Medicine | 5 Mountain Blvd, Ste # 3, Warren, NJ 07059-5650 | 2007-03-20 |
Street Address |
2160 S FIRST AVE MAGUIRE CENTER, RM 3307 |
City | MAYWOOD |
State | IL |
Zip Code | 60153 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497732747 | Rodney Tehrani | Internal Medicine | 2160 S First Ave, (luh-north Ent., Rm. 7604), Maywood, IL 60153 | 2005-12-28 |
1013448901 | Erin Rebecca Fiedler | Psychiatry & Neurology | 2160 S First Ave, Loyola University Medical Gme Office 105/2840, Maywood, IL 60153 | 2017-03-23 |
1477917698 | Judy A Trieu | Internal Medicine | 2160 S First Ave, Building 54- Suite 167, Maywood, IL 60153 | 2016-04-13 |
1285977348 | Mackenzie Marie Sward | Ophthalmology | 2160 S First Ave, Loyola University Medical Center Dept of Ophthalmology, Maywood, IL 60153-6809 | 2013-03-27 |
1689822231 | Sean O'donnell | Surgery | 2160 S First Ave, Loyola Medical Center Department of Surgery, Maywood, IL 60153 | 2008-09-08 |
1730336652 | Lara Bakhos | Internal Medicine | 2160 S First Ave, Maywood, IL 60153 | 2008-08-21 |
1831353788 | Justin Spackey | Radiology | 2160 S First Ave, Maywood, IL 60153 | 2008-07-10 |
1821257833 | Neha Sheth Dasmunshi | Anesthesiology | 2160 S First Ave, Maywood, IL 60153-3328 | 2008-06-04 |
1629290655 | Mark E Cichon | Emergency Medicine | 2160 S First Ave, Ems Bldg. Rm. 2700, Maywood, IL 60153 | 2007-05-02 |
1396878682 | Donna Mccormack | Nurse Practitioner | 2160 S First Ave, 101 1740 Loyola University Medical Center, Maywood, IL 60153 | 2007-03-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
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Taxonomy Code | 2080P0210X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Nephrology |
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407906449 | Donald I Moel | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2007-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134316680 | Childrens Kidney Specialists Sc | Pediatrics | 1954 1st St, Suite 200, Highland Park, IL 60035-3104 | 2007-09-28 |
1548238975 | Richard A Cohn | Pediatrics | 9036 Sleeping Bear Rd, Skokie, IL 60076-1920 | 2006-03-10 |
1841277928 | Peter R Lewy | Pediatrics | 1144 Wilmette Ave, Wilmette, IL 60091-2604 | 2005-12-29 |
1528454642 | Vidhi Dalal | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2015-04-15 |
1366720245 | Erin D Kim | Pediatrics | 9555 S 52nd Ave, Oak Lawn, IL 60453 | 2011-07-27 |
1346565470 | Priya Chandra | Pediatrics | 9555 S 52nd Ave, Oak Lawn, IL 60453-3054 | 2010-03-31 |
1801027057 | Shireen Hashmat | Pediatrics | 5841 S Maryland Ave, Mc 4063, Chicago, IL 60637-1447 | 2009-08-06 |
1841450681 | Delphine Robotham Nelson | Pediatrics | 225 E Chicago Ave, Ms #37, Chicago, IL 60611-2991 | 2008-06-16 |
1124287180 | Nephrology and Hypertension Consultants Sc | Pediatrics | 1480 Renaissance Dr, Suite 211, Park Ridge, IL 60068-1332 | 2008-06-05 |
1902071269 | Kavita S Hodgkins | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2008-04-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.