Agarwal, Gautam
Agarwal, Gautam is an individual health care provider with primary practice located at 1120 15Th St Ba-4300, Augusta GA 30912-0004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Agarwal, Gautam can be contacted via phone (706) 721-3671.Contact Information
Primary practice address
1120 15Th St Ba-4300
Augusta GA 30912-0004
Phone: (706) 721-3671
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 47831 | Minnesota |
Profile Details
| NPI number | 1912982687 |
|---|---|
| LBN Legal business name | Agarwal, Gautam |
| Credentials | M.B.B.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Sep 8th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912982687 | NPPES |
| Minnesota | MEDICAID | 640145700 |
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