Individual
ANUPAM AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25617
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009945615
—
AL
01
—
051519600
BLUE CROSS
AL
01
—
051519601
BLUE CROSS
AL
05
—
051519601
—
AL
01
—
P00101340
RAILROAD MEDICARE
AL
Enumeration date
08/01/2006
Last updated
10/24/2013
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