Individual
DR. VIJAY AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(310) 413-4338
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(310) 413-4338
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
109069
MN
207T00000X
Neurological Surgery Physician
77695
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902123128
NPI
MN
Enumeration date
04/27/2010
Last updated
04/18/2017
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