NEERAJ AGRAWAL CLINIC LTD NPI 1891711222

NPI Information

NPI: 1891711222
Provider Name: NEERAJ AGRAWAL CLINIC LTD

Other Name: NEERAJ AGRAWAL

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
7332 W STATE ST # LL
WAUWATOSA, WI
ZIP 53213
Phone: (414) 628-3457
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NEERAJ AGRAWAL CLINIC LTD is a professional counselor in Wauwatosa, WI. NEERAJ AGRAWAL CLINIC LTD NPI is 1891711222. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Neeraj Agrawal.

The provider's business location address is:

7332 W STATE ST # LL
WAUWATOSA, WI
ZIP 53213-766
Phone: (414) 628-3457
Fax: (262) 252-4874

The provider's authorized official is Neeraj B Agrawal .
The authorized official title is Director & Psychotherapist and has the following contact phone number (414) 628-3457.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 8/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	11544	WISCONSIN	No
2	101YP2500X	Counselor	Professional	2847125	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	242647	OTHER	WISCONSIN	VALUEOPTIONS
2	43553100	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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