Individual
DR. VIJAY KUMAR AGARWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
727 N 120TH ST, OMAHA, NE 68154-4212
(402) 493-2100
(402) 493-2104
Mailing address
727 N 120TH ST, OMAHA, NE 68154-4212
(402) 493-2100
(402) 493-2104
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16006
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35053
BLUE CROSS PROVIDER #
NE
05
—
47083662100
—
NE
Enumeration date
01/08/2007
Last updated
07/08/2007
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