Provider Demographics
NPI:1730975186
Name:AGARBATTIWALA, RAJ VINODKUMAR (MBBS,MS, MCH)
Entity type:Individual
Prefix:MR
First Name:RAJ
Middle Name:VINODKUMAR
Last Name:AGARBATTIWALA
Suffix:
Gender:
Credentials:MBBS,MS, MCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MOUNT SINAI HOSPITAL- DEPT OF NEUROSURGERY
Mailing Address - Street 2:ONE GUSTAVE L. LEVY PLACE, BOX 1136
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-241-6267
Mailing Address - Fax:212-410-0603
Practice Address - Street 1:MOUNT SINAI WEST
Practice Address - Street 2:1000 10TH AVENUE, SUITE 10C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-523-8130
Practice Address - Fax:212-523-8342
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program