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Individual

DR. GAURAV AGARWAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
619 19TH ST S, BIRMINGHAM, AL 35249
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
33234
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008201232
MS MEDICAID
Enumeration date
07/25/2006
Last updated
02/01/2024
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