Individual
ALOK AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 W MAIN ST, SUITE 209, WILMINGTON, OH 45177-2170
(937) 383-2700
(937) 383-2722
Mailing address
630 W MAIN ST, SUITE 209, WILMINGTON, OH 45177-2170
(937) 383-2700
(937) 383-2722
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
77552
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000074148
ANTHEM
—
05
—
2161842
—
OH
01
—
2273021
AETNA
—
01
—
310821503032
CARE SOURCE
—
01
—
3108215037B22
UNITED MINE WORKERS
—
01
—
390007302
MEDICARE RAILROAD
—
01
—
D77552
HUMANA
—
Enumeration date
11/14/2005
Last updated
12/06/2011
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