Organization
PLEASANT VALLEY RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURESH K AGRAWAL MD (PRESIDENT)
(304) 675-4340
Entity
Organization
Contact information
Practice address
2520 VALLEY DR, POINT PLEASANT, WV 25550-2031
(304) 675-4340
(304) 675-5893
Mailing address
PO BOX 236, POINT PLEASANT, WV 25550-0236
(614) 430-5726
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000172729
ANTHEM
—
05
—
0009658000
—
WV
05
—
0196694
—
OH
01
—
CA8852
MEDICARE RAILROAD
—
Enumeration date
07/01/2006
Last updated
03/18/2008
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