Provider Demographics
NPI:1427885052
Name:TISHANGI KUMAR AGRAWAL MD
Entity type:Organization
Organization Name:TISHANGI KUMAR AGRAWAL MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TISHANGI
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:AGRAWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-602-5875
Mailing Address - Street 1:1202 E GREEN ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-3112
Mailing Address - Country:US
Mailing Address - Phone:626-898-9858
Mailing Address - Fax:626-898-4749
Practice Address - Street 1:1202 E GREEN ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-3112
Practice Address - Country:US
Practice Address - Phone:626-898-9858
Practice Address - Fax:626-898-4749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant CardiologyGroup - Multi-Specialty