Provider Demographics
NPI:1740323559
Name:AGADZI, ANTHONY K (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:K
Last Name:AGADZI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 14936
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-0936
Mailing Address - Country:US
Mailing Address - Phone:415-505-6284
Mailing Address - Fax:
Practice Address - Street 1:2852 REDWOOD PKWY
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-3633
Practice Address - Country:US
Practice Address - Phone:707-553-8222
Practice Address - Fax:707-553-1154
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA89342207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology