MANOJ AGARWAL (NPI# 1700891900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700891900 |
| Entity Type | Individual |
| Full Name | MANOJ AGARWAL |
| Credential | MD, MBA |
| Practice Address |
455 Oconnor Dr Ste 270 San Jose CA 95128-1644 |
| Mailing Address |
400 Race Street San Jose CA 95126-3705 |
| Practice Telephone | 4088315710 |
| Practice Fax Number | 4088315784 |
| Mailing Telephone | 4082783000 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2014-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
D0073390 | MD | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
C53155 | CA | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036-101476 | IL | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
E-3947 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 152992001 | 05 | |
| AR | QUALCHOICE | 04050014100 | 01 |
| AR | BCBS | 5M768 | 01 |
| AR | RAILROAD MEDICARE1 | P00165505 | 01 |
| Street Address |
455 OCONNOR DR STE 270 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558890038 | Evergreen Hematology Oncology Associates | Internal Medicine | 200 Jose Figueres Ave Ste 245, San Jose, CA 95116-1599 | 2017-06-08 |
| 1942529227 | Sumit Anil Shah | Internal Medicine | 993 Twin Brook Dr, San Jose, CA 95126-4023 | 2010-05-25 |
| 1447298955 | Adour Richard Adrouny | Internal Medicine | 2998 S Bascom Ave, Suite 200, San Jose, CA 95124-1467 | 2006-06-04 |
| 1114925542 | George Labban | Internal Medicine | 2589 Samaritan Dr, San Jose, CA 95124 | 2005-07-10 |
| 1053317818 | Raymond W. Lee | Internal Medicine | 200 Jose Figueres Ave, Ste 245, San Jose, CA 95116-1588 | 2005-06-24 |
| 1831488337 | Charlene Sen-yee Lee | Internal Medicine | 200 Jose Figueres Ave, Suite 245, San Jose, CA 95116-1500 | 2011-04-05 |
| 1700930468 | Maria Pilar C Ivanov | Internal Medicine | 260 International Cir, San Jose, CA 95119-1130 | 2007-01-22 |
| 1710063227 | Joseph E. Mason Jr. | Internal Medicine | 260 International Cir, San Jose, CA 95119-1130 | 2006-10-27 |
| 1972689495 | Ann B. Von Gehr | Internal Medicine | 260 International Cir, San Jose, CA 95119-1130 | 2006-10-27 |
| 1992881403 | Myron S. Kwong | Internal Medicine | 260 International Cir, San Jose, CA 95119-1130 | 2006-10-27 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.