RAJIV AGARWAL MD PA NPI 1720550015

NPI Information

NPI: 1720550015
Provider Name: RAJIV AGARWAL MD PA
Classification: Internal Medicine - 207RC0000X
Specialization: Cardiovascular Disease
Entity Type: Organization
Doing Business As: MODERN HEART AND VASCULAR INSTITUTE
CLIA Number: 45D2275598
Address: 18980 W MEMORIAL DR STE 100
HUMBLE, TX
ZIP 77338
Phone: (832) 644-8930

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NPI Details

RAJIV AGARWAL MD PA is a cardiovascular disease internal medicine in Humble, TX. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. RAJIV AGARWAL MD PA NPI is 1720550015. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Modern Heart And Vascular Institute.

The provider's business location address is:

18980 W MEMORIAL DR STE 100
HUMBLE, TX
ZIP 77338-472
Phone: (832) 644-8930

The provider's authorized official is Rajiv Agarwal .
The authorized official title is Authorized Official and has the following contact phone number (832) 644-8930.

The CLIA number assigned to this NPI record is 45D2275598 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/26/2018 and was last updated on 7/10/2024.

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	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes
2	261QR0404X	Clinic/Center	Rehabilitation, Cardiac Facilities			No

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	1720550015	OTHER	TEXAS	GROUP NPI
2	1649486168	OTHER	TEXAS	INDIVIDUAL NPI
3	150576005	MEDICAID	TEXAS

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: 11/21/2025

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