Agarwal, Naresh Kumar
Agarwal, Naresh Kumar is an individual health care provider with primary practice located at 8600 North Route 91 , Peoria IL 61615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Agarwal, Naresh Kumar can be contacted via phone (309) 683-5050.Contact Information
Primary practice address
8600 North Route 91
Peoria IL 61615
Phone: (309) 683-5050
Fax: (309) 683-5335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | IL03693491 | Illinois |
Profile Details
| NPI number | 1538134960 |
|---|---|
| LBN Legal business name | Agarwal, Naresh Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Sep 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538134960 | NPPES |
| Illinois | Other | P00618660 | RR MEDICARE GROUP MEMBER PTAN |
| Illinois | MEDICAID | 036093491 | RR MEDICARE GROUP MEMBER PTAN |
| Illinois | Other | 809840 | RR MEDICARE GROUP MEMBER PTAN |
| Illinois | Other | CA4079 | RR MEDICARE GROUP MEMBER PTAN |
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