Provider Demographics
NPI:1801919816
Name:AGARWAL & AGARWAL MDS INC
Entity type:Organization
Organization Name:AGARWAL & AGARWAL MDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICEPRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-236-2155
Mailing Address - Street 1:7405 BRANDT PK
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-3239
Mailing Address - Country:US
Mailing Address - Phone:937-236-2155
Mailing Address - Fax:937-236-4639
Practice Address - Street 1:7405 BRANDT PK
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-3239
Practice Address - Country:US
Practice Address - Phone:937-236-2155
Practice Address - Fax:937-236-4639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH049806207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA16167Medicare UPIN
OHA15602Medicare UPIN