Organization
MEDICHECK GROUP INC.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ATUL K AGARWALA MD., (DOCTOR)
(212) 795-4544
Entity
Organization
Contact information
Practice address
1602 SAINT NICHOLAS AVE, NEW YORK, NY 10040-3311
(212) 795-4544
Mailing address
1602 SAINT NICHOLAS AVE, NEW YORK, NY 10040-3311
(212) 795-4544
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NY
207W00000X
Ophthalmology Physician
MA61586
NJ
207W00000X
Ophthalmology Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01446428
—
NY
01
—
10456275
CAQH
—
01
—
1427133586
NPI
—
01
—
1900871
NY LICENSE
NY
01
—
6875700
NJ MEDICAID
NJ
01
—
792642
NJ MEDICARE
NJ
01
—
MA-06158600
NJ LICENSE
NJ
Enumeration date
08/09/2007
Last updated
08/09/2007
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