Individual
VINEET AGRAWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-2845
(570) 887-2011
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
269120
NY
208800000X
Urology Physician
Primary
MD454350
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04191984
—
NY
Enumeration date
07/15/2013
Last updated
02/08/2016
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