Individual
ADHISH K AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4403 HARRISON BLVD, SUITE 2635, OGDEN, UT 84403-3244
(801) 387-6820
(801) 387-6825
Mailing address
4403 HARRISON BLVD, SUITE 2635, OGDEN, UT 84403-3244
(801) 387-6820
(801) 387-6825
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4929797-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107018995101
IHC
UT
01
—
110248797
PALMETTO RR MEDICARE
UT
05
—
1164424750
—
UT
01
—
119844100
ACS
UT
01
—
3100065
UHC
UT
01
—
49297971200001
HEALTHWISE
UT
01
—
73351
PEHP
UT
01
—
800242
DMBA
UT
01
—
870678603
MOLINA
UT
01
—
870678603AKA
EMIA
UT
05
—
D4939
—
UT
01
—
QM0000066341
ALTIUS
UT
Enumeration date
08/12/2005
Last updated
10/16/2021
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