Agrawal, Pranjal M

Agrawal, Pranjal M is an individual health care provider with primary practice located at 102 S Hennepin Ave , Dixon IL 61021-3013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Agrawal, Pranjal M can be contacted via phone (815) 284-7733.

Contact Information

Primary practice address
102 S Hennepin Ave Dixon IL 61021-3013
Phone: (815) 284-7733
Fax: (815) 288-1487
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-118796 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036-118796 Illinois

Profile Details

NPI number 1174723290
LBN Legal business name Agrawal, Pranjal M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated May 17th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174723290 NPPES
Illinois MEDICAID 036118796
Illinois Other 336-080021
Illinois Other 036-118796
Illinois Other 80020007
Illinois Other K40163

Popular Providers