Agola, John C.
Agola, John C. is an individual health care provider with primary practice located at 5544 Greenwich Rd Ste 200 , Virginia Beach VA 23462-6563. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Agola, John C. can be contacted via phone (757) 466-0089.Contact Information
Primary practice address
5544 Greenwich Rd Ste 200
Virginia Beach VA 23462-6563
Phone: (757) 466-0089
Fax: (757) 466-8017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 0101050812 | Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101050812 | Virginia |
Profile Details
| NPI number | 1578549630 |
|---|---|
| LBN Legal business name | Agola, John C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Nov 21st, 2023 - about last year |
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 | 1578549630 | NPPES |
| Virginia | MEDICAID | 7203608 | |
| Virginia | Other | 35221 | |
| Virginia | MEDICAID | 890637U | |
| Virginia | Other | 139178 | |
| Virginia | Other | 300061500 | |
| Virginia | Other | 35221 |
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