Individual
SHIV KUMAR AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S., M.D.
Contact information
Practice address
3333 JODECO RD, MCDONOUGH, GA 30253-5319
(770) 692-4000
Mailing address
3333 JODECO RD, MCDONOUGH, GA 30253-5319
(770) 692-4000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
91640
GA
207RC0000X
Cardiovascular Disease Physician
E9818
AR
207RI0011X
Interventional Cardiology Physician
Primary
91640
GA
207RI0011X
Interventional Cardiology Physician
E9818
AR
Other
Enumeration date
11/06/2010
Last updated
04/02/2023
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