Agrawal, Jaya R
Agrawal, Jaya R is an individual health care provider with primary practice located at 10 Main St Hampshire Gastroenterology Associates, Llc, Florence MA 01062-3160. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Agrawal, Jaya R can be contacted via phone (413) 586-8910.Contact Information
Primary practice address
10 Main St Hampshire Gastroenterology Associates, Llc
Florence MA 01062-3160
Phone: (413) 586-8910
Fax: (413) 584-7270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 226227 | Massachusetts |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 226227 | Massachusetts |
Profile Details
| NPI number | 1316979842 |
|---|---|
| LBN Legal business name | Agrawal, Jaya R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Feb 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316979842 | NPPES |
| Massachusetts | MEDICAID | 110083595A |
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