Individual
EFREN C AGANON
Active
Individual
EFREN C AGANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35077098
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105065
GROUP MEDICAID
OH
01
—
1184652539
GROUP TAX ID
OH
05
—
2131633
—
OH
01
—
9934723
GROUP PTAN
OH
Enumeration date
06/16/2005
Last updated
07/21/2022
Update your record
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