Agra, Anthony Dean

Agra, Anthony Dean is an sole proprietor health care provider with primary practice located at 290 E Town St , Columbus OH 43215-4602. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Agra, Anthony Dean can be contacted via phone (614) 788-5400.

Contact Information

Primary practice address
290 E Town St Columbus OH 43215-4602
Phone: (614) 788-5400
Fax: (614) 788-5500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 35-073306 Ohio
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 35073306 Ohio

Profile Details

NPI number 1649279373
LBN Legal business name Agra, Anthony Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2005
Last updated Aug 5th, 2021 - about 3 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 1649279373 NPPES
Ohio MEDICAID 2072206

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