# ULYSSES D AGAS M D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639368822
- **Authorized official:** DR. ULYSSES D AGAS MD (OWNER)
- **Authorized official phone:** (304) 752-3434

## Contact information

- **Practice address:** 557 MAIN STREET, LOGAN, WV 25601
- **Practice address phone:** (304) 752-3435
- **Practice address fax:** (304) 752-3436
- **Mailing address:** PO BOX 210, LOGAN, WV 25601-0210
- **Mailing address phone:** (304) 752-3435
- **Mailing address fax:** (304) 752-3436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | WV13227 | WV | Yes |

## Other

- **Enumeration date:** 10/24/2007
- **Last updated:** 11/21/2012