Agarwal, Jay Shanker

Agarwal, Jay Shanker is an individual health care provider with primary practice located at 401 E Highland Ave Suite 551, San Bernardino CA 92404-3803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Agarwal, Jay Shanker can be contacted via phone (909) 882-9150.

Contact Information

Primary practice address
401 E Highland Ave Suite 551 San Bernardino CA 92404-3803
Phone: (909) 882-9150
Fax: (909) 883-8972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A78358 California

Profile Details

NPI number 1326091737
LBN Legal business name Agarwal, Jay Shanker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Dec 26th, 2012 - about 13 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 1326091737 NPPES
California MEDICAID 00A783580

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