MANJU L. AGRAWAL (MD) – Family Medicine Physician, NPI 1063497139

Family Medicine Physician

MANJU L. AGRAWAL (MD) is a healthcare provider. based in Dallas, Texas. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. J8861 (TX). The NPI Number for MANJU L. AGRAWAL (MD) is 1063497139

Main info

Female

34 Years Of Experience

Accepts Medicare Assignment

Name

MANJU L. AGRAWAL (MD)

NPI

1063497139

Phone

Not provided

Address

PO BOX 660599

Enumeration Date

13 December 2005

Last Update Date

3 September 2009

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9724246581

Graduation Year

1992 (34 years ago)

PAC ID

1658403175

Group Practice PAC ID

9234027897

Professional Enrollment ID

I20100720000313

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for MANJU L. AGRAWAL (MD)

Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752660599
Phone:
Type: Mailing
Zale Lipshy University Hospital, 5201, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States
AMBULATORY CARE CLINIC
DALLAS, TX 752357708
Phone: (214) 590-5512
Fax: (214) 590-5491
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75266)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 9234027897View full group profile

Name	Specialty	State
ANNETTE DIANE WILLIAMSON (ARNP, FNP)	Nurse Practitioner	MO
MR. BEN RAY GRAHAM (PA-C)	-	TX
PRISCA JOHN-OGAM	Physician Assistant	NY
LATWANYA J TRAYLOR (NP)	Nurse Practitioner	TX
KRISTI LEE WEST (PA-C)	Physician Assistant	TX
NESCIE FABIA (FNP-C)	Nurse Practitioner	TX
LE THANH NGUYEN (MD)	Family Practice	TX
JORGE L CANDIOTTI (PA-C)	Physician Assistant	PA
SHELLABI AKWI KOFFI (FNP)	Nurse Practitioner	TX
MS. JANNA KWON CHUN (FNP)	Nurse Practitioner	TX