Individual
VISHAL AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MEDICAL DR, DUBLIN, GA 31021-2559
(478) 272-3209
(478) 272-2283
Mailing address
100 MEDICAL DR, DUBLIN, GA 31021-2559
(478) 272-3209
(478) 272-2283
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
TL24207
SC
207RP1001X
Pulmonary Disease Physician
Primary
TL24207
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576008010-013
BLUE CROSS BLUE SHIELD
SC
05
—
GP3549
—
SC
Enumeration date
10/12/2006
Last updated
06/07/2013
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