| Bajrang L Agarwal, MD | |
|
111 Hospital Dr, Utica, NY 13502-2517 | |
| (315) 917-9966 | |
| (315) 801-8391 |
| Full Name | Bajrang L Agarwal |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 111 Hospital Dr, Utica, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083701171 | NPI | - | NPPES |
| 01235423 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 173130 (New York) | Primary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 173130 (New York) | Secondary |
| Entity Name | Lawrence Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023257441 PECOS PAC ID: 1759439631 Enrollment ID: O20090504000017 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Bajrang L Agarwal, MD 111 Hospital Dr, Attn: Credentialing Dept, New York, NY 13502 Ph: (315) 801-8534 | Bajrang L Agarwal, MD 111 Hospital Dr, Utica, NY 13502-2517 Ph: (315) 917-9966 |
Dr. Matthew Anthony Mittiga, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 117 Business Park Dr, Utica, NY 13502 Phone: 315-798-1543 Fax: 315-798-1556 | |
Daniel Lewis Zeidner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1450 Champlin Ave, Utica Pediatrics, Utica, NY 13502 Phone: 315-732-7909 Fax: 315-793-9307 | |
Elaine Tsukayama, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 117 Business Park Dr, Utica, NY 13502 Phone: 315-798-1543 | |
Rhea Ivins, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2212 Genesee St, Utica, NY 13502 Phone: 315-734-3161 Fax: 315-734-3411 | |
Dr. Susan M Blatt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 406 Elizabeth St, Utica, NY 13501 Phone: 315-798-5747 Fax: 315-798-1057 | |
Dr. Rebecca A Deeley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Hospital Dr, Utica, NY 13502 Phone: 315-624-6000 |