Provider Demographics
NPI:1710116876
Name:AGARWAL, DEVESH (MD)
Entity Type:Individual
Prefix:
First Name:DEVESH
Middle Name:
Last Name:AGARWAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 TRANSALPINE RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:ME
Mailing Address - Zip Code:04457-4222
Mailing Address - Country:US
Mailing Address - Phone:207-794-3321
Mailing Address - Fax:207-794-6488
Practice Address - Street 1:7 TRANSALPINE RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:ME
Practice Address - Zip Code:04457-4222
Practice Address - Country:US
Practice Address - Phone:207-794-3321
Practice Address - Fax:207-794-6488
Is Sole Proprietor?:No
Enumeration Date:2009-07-10
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA312127207Q00000X
TXQ4357207P00000X
PAMD446144207Q00000X
MEMD19885207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine