Organization
C K AGARWAL MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAITANYA K AGARWAL MD (OWNER)
(304) 466-1366
Entity
Organization
Contact information
Practice address
2500 MOUNTAINEER BLVD, CHARLESTON, WV 25309-9438
(304) 414-0022
Mailing address
2500 MOUNTAINEER BLVD, CHARLESTON, WV 25309-9438
(304) 466-1366
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11042
WV
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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