Agarwala, Brojendra

Agarwala, Brojendra is an individual health care provider with primary practice located at 5841 S Maryland Ave Mc 4051, Chicago IL 60637-1447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Agarwala, Brojendra can be contacted via phone (773) 795-4475.

Contact Information

Primary practice address
5841 S Maryland Ave Mc 4051 Chicago IL 60637-1447
Phone: (773) 795-4475
Fax: (773) 702-2319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 036046668 Illinois

Profile Details

NPI number 1780668285
LBN Legal business name Agarwala, Brojendra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Mar 14th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780668285 NPPES
Illinois Other 01621679 BCBS OF IL
Illinois MEDICAID 036046668 BCBS OF IL

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