Agarwal, Chaitanya K

Agarwal, Chaitanya K is an sole proprietor health care provider with primary practice located at 1501 Terrace Street Summers Community Clinic, Hinton WV 25951-0940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Agarwal, Chaitanya K can be contacted via phone (304) 466-1366.

Contact Information

Primary practice address
1501 Terrace Street Summers Community Clinic Hinton WV 25951-0940
Phone: (304) 466-1366
Fax: (304) 466-1366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 11042 West Virginia

Profile Details

NPI number 1629184692
LBN Legal business name Agarwal, Chaitanya K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2006
Last updated May 8th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629184692 NPPES
West Virginia MEDICAID 0094908000

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