Individual
ABHISHEK AGARWAL
Active
Individual
ABHISHEK AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E5097
AR
207RG0100X
Gastroenterology Physician
Primary
MD60647401
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2060137
—
WA
01
—
G000188100
GROUP PTAN(K)
WA
01
—
G001045700
GROUP PTAN(P)
WA
01
—
MD60647401
WA LICENSE
WA
Enumeration date
04/12/2007
Last updated
06/21/2019
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