SIDDHARTHA AGRAWAL (NPI# 1477761963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477761963 |
| Entity Type | Individual |
| Full Name | SIDDHARTHA AGRAWAL |
| Credential | M.D. |
| Practice Address |
6145n Thesta St Fresno CA 93710-5266 |
| Practice Telephone | 5595159279 |
| Practice Fax Number | 5594368193 |
| Mailing Telephone | 5595159279 |
| Mailing Fax Number | 5594368193 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2015-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A102877 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE RAILROAD PTAN | P00818901 | 01 |
| CA | 1477761963 | 05 |
| Street Address |
6145N THESTA ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-5266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
| 1831658228 | Sequoia Medical Practice Pllc | Internal Medicine | 4725 Teal Bend Blvd, Fresno, TX 77545-0106 | 2019-03-15 |
| 1720377070 | Khin Su Yee | Internal Medicine | 6700 N 1st St Ste 119, Fresno, CA 93710-3947 | 2011-04-06 |
| 1265602775 | Irma L Wisener | Internal Medicine | 1335 W Fremont Ave, Fresno, CA 93711-1416 | 2008-03-11 |
| 1689791147 | Andre Nicolai Minuth | Internal Medicine | 8590 N 3rd St, Fresno, CA 93720-1746 | 2007-03-22 |
| 1235116138 | Adela Yniguez Ayala | Internal Medicine | 568 E Herndon Ave Ste 201, Fresno, CA 93720-2989 | 2005-12-30 |
| 1245644061 | Angel F. Delgado Garrastegui | Internal Medicine | 568 E Herndon Ave Ste 201, Fresno, CA 93720-2989 | 2014-06-19 |
| 1417369810 | Ace Nephrology, Inc. | Internal Medicine | 6700 N 1st St Ste 119, Fresno, CA 93710-3947 | 2014-05-20 |
| 1427468651 | Alan Moreno | Internal Medicine | 568 E Herndon Ave Ste 201, Fresno, CA 93720-2989 | 2014-04-28 |
| 1548524408 | Nishkarsh Saxena | Internal Medicine | 568 E Herndon Ave Ste 201, Fresno, CA 93720-2989 | 2012-06-26 |
| Find all providers in FRESNO | ||||
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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.