Provider Demographics
NPI:1588752067
Name:AGARWAL, RAJESH KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:RAJESH
Middle Name:KUMAR
Last Name:AGARWAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RAJESH
Other - Middle Name:
Other - Last Name:KUMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-5736
Mailing Address - Fax:717-715-1298
Practice Address - Street 1:130 PINE GROVE COMMONS
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5151
Practice Address - Country:US
Practice Address - Phone:717-851-5736
Practice Address - Fax:717-715-1298
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2023-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI48841-020207R00000X
PAMD433852207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50077479OtherCAPITAL BLUE CROSS-WMG
PA7162248OtherGATEWAY (SPEC)
PAP009312OtherGATEWAY (PCP)
PA209951OtherJOHNS HOPKINS
PA240055OtherUNISON-WMG
PA9303214OtherAETNA
PA20076083OtherAMERIHEALTH MERCY-WMG
MD927819-01OtherCAREFIRST MD BCBS
PA102119126Medicaid
PA118472OtherGEISINGER HEALTH PLAN
PA2038922OtherHIGHMARK BLUE SHIELD
PA7162248OtherGATEWAY (SPEC)
PA102119126Medicaid