Individual provider · NPI-1

Dr. Ernesto H Agbayani, M.D.

Family Medicine · Martinsburg, WV

NPI number1497778427
StatusActive
Last updated in NPPESMar 25, 2021

Details

NPI
1497778427
Entity type
Individual (NPI-1)
Name
Dr. Ernesto H Agbayani
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 25, 2006
Certification date
Mar 25, 2021
Last updated
Mar 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine19905WVYes

Practice location

155 Health Care Ln
Martinsburg, WV 25401-4008

Phone 304-596-6911 · Fax 304-596-6913

Mailing address

155 Health Care Ln
Martinsburg, WV 25401-4008

Phone 304-596-6911 · Fax 304-596-6913

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