Individual
DR. VIJAYA K AGARWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-3300
(814) 723-8515
Mailing address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-3300
(814) 723-8515
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD057970L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020289904
UNIVERA
NY
01
—
739079
HIGHMARK BLUE SHIELD
PA
Enumeration date
10/17/2005
Last updated
10/18/2007
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