Individual
HARSH VARDHAN AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 ARLINGTON AVE, CALDWELL, ID 83605-4802
(208) 455-3890
(208) 455-3895
Mailing address
PO BOX 708698, SANDY, UT 84070-8698
(866) 869-2395
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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