Individual
PREM K AGRAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FRCS
Contact information
Practice address
1400 S MAIN ST, FINDLAY, OH 45840-1304
(419) 422-5646
(419) 422-6040
Mailing address
2728 FOXFIRE LN, FINDLAY, OH 45840-7138
(419) 422-3377
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35-045878
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000140324
ANTHEM BC/BS
OH
01
—
000000168601
ANTHEM FEDERAL
OH
05
—
0506974
—
OH
01
—
103455
HEALTHPARTNERS
OH
01
—
1096780001
ADMINISTAR FEDERAL
OH
01
—
1309147
HIGHMARK BC/BS
OH
01
—
341849644
FEDERAL ID
OH
01
—
36D0351656
CLIA
OH
01
—
6218555
CIGNA
OH
Enumeration date
12/29/2005
Last updated
07/03/2008
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