Provider Demographics
NPI:1215964150
Name:AGARWAL, HARIHAR P (MD)
Entity type:Individual
Prefix:DR
First Name:HARIHAR
Middle Name:P
Last Name:AGARWAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1359 W AVENUE J
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2935
Mailing Address - Country:US
Mailing Address - Phone:661-726-5000
Mailing Address - Fax:661-726-4347
Practice Address - Street 1:1359 W AVENUE J
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2935
Practice Address - Country:US
Practice Address - Phone:661-726-5000
Practice Address - Fax:661-726-4347
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG46246207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0079280OtherMEDICAL GROUP
CA00G462461Medicaid
CA00G462461Medicaid
A50335Medicare UPIN
CA00G462461Medicaid