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Individual
DR. GHANSHYAM AGARWAL
Active
Individual
DR. GHANSHYAM AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036100144
IL
2080A0000X
Pediatric Adolescent Medicine Physician
036100144
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036100144
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100144
—
IL
Enumeration date
06/12/2006
Last updated
04/21/2021
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