Individual provider · Type 1 NPI

Kishore Agrawal

Surgery Physician · Staten Island, NY

NPI number 1679540603 Active

Practice location

4287 Richmond Ave
Staten Island, NY 10312-6241

Fax (718) 984-6932

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X146200 (NY)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1679540603

Kishore Agrawal's National Provider Identifier is 1679540603, issued on Mar 8, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 13, 2026.