Agrawal, Subodh K
Agrawal, Subodh K is an sole proprietor health care provider with primary practice located at 2005 Prince Ave , Athens GA 30606-6032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Agrawal, Subodh K can be contacted via phone (706) 208-9700.Contact Information
Primary practice address
2005 Prince Ave
Athens GA 30606-6032
Phone: (706) 208-9700
Fax: (706) 208-0806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 028344 | Georgia |
Profile Details
| NPI number | 1366443640 |
|---|---|
| LBN Legal business name | Agrawal, Subodh K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Oct 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366443640 | NPPES |
| Georgia | MEDICAID | 00414554E | |
| Georgia | Other | 060047315 |
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