Individual
DR. ATUL AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 N SENATE BLVD, RADIOLOGY DEPT, INDIANAPOLIS, IN 46202-1239
(317) 962-6793
Mailing address
714 N SENATE AVE, STE 100, INDIANAPOLIS, IN 46202-3763
(317) 715-6402
(317) 715-6415
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01066742
IN
2085R0202X
Diagnostic Radiology Physician
A89590
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000622041
ANTHEM BCBS
IN
05
—
200955450
—
IN
01
—
P00768183
RAILROAD MEDICARE
IN
Enumeration date
04/20/2007
Last updated
01/19/2021
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