Individual ProviderNupur AgrawalInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1245 16th St Ste 125, Santa Monica, CA 90404-1240(310) 315-8900PECOS EnrollmentBased on the most recent information from CMS, provider Nupur Agrawal is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1821409822Provider TypeIndividualFull NameAgrawal, NupurCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date5/13/2014Last Updated7/5/2019Contact InformationPractice LocationPractice Address1245 16th St Ste 125, Santa Monica, CA 90404-1240Phone(310) 315-8900Fax(310) 315-8902Mailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA156567CaliforniaCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseA156567California