Individual
DR. YOGESH K AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 EASTLAND DR, STE 330, BLOOMINGTON, IL 61701-3534
(309) 663-9800
Mailing address
1505 EASTLAND DR, STE 330, BLOOMINGTON, IL 61701-3534
(309) 663-9800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036110034
IL
207RC0000X
Cardiovascular Disease Physician
036110034
IL
207RI0011X
Interventional Cardiology Physician
Primary
036110034
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036110034
ILLINOIS LICENSE
IL
Enumeration date
05/24/2005
Last updated
01/05/2024
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