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Deactivated NPI 1356733687 Deactivated / Inactive NPI Male Practitioner

Rodolfo Agraz

General Practice • Marietta, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Rodolfo Agraz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 24, 2015
NPI Deactivation Date July 31, 2024
Total Practice Duration ~9 Years of Practice (2015 – 2024)

Professional Overview & Biography Verified Profile Summary

Rodolfo Agraz was a registered General Practice practicing in Marietta, GA. Throughout an active medical career spanning 9 years, Rodolfo Agraz provided care at the practice location at 538 HEYWARD CIR NW until profile deactivation on 2024-07-31.

Practice Location & Contact Primary Location

Practice Address

538 Heyward Cir Nw

Marietta, GA 300641406

Telephone 7704282598

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Marietta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
4 Specialists

Practicing in Marietta, GA (369 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License GA 12236

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 31, 2024

Record deactivated on July 31, 2024

NPI Profile Active February 24, 2015

NPI status registered as active in NPPES database

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Updated Practice Location February 24, 2015

Registered at 538 HEYWARD CIR NW, MARIETTA, GA 300641406 (Tel: 7704282598)

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Updated Business Mailing Address February 24, 2015

Registered at 538 HEYWARD CIR NW, MARIETTA, GA 300641406 (Tel: 7704282598)

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Provider Name / Credentials Updated February 24, 2015

Recorded as RODOLFO AGRAZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2015

General Practice (License #12236 in GA)

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Initial NPI Registration & Enumeration February 24, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356733687
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2015
Last Update: February 24, 2015
Deactivation Date: July 31, 2024

Mailing Address

538 Heyward Cir Nw

Marietta, GA 300641406

Phone: 7704282598

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.