Individual provider · NPI-1
Vishal Agrawal, M.D.
Internal Medicine, Pulmonary Disease · Dublin, GA
NPI number1902995178
StatusActive
Last updated in NPPESJun 7, 2013
Details
- NPI
- 1902995178
- Entity type
- Individual (NPI-1)
- Name
- Vishal Agrawal
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2006
- Last updated
- Jun 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | TL24207 | SC | Yes |
| 207RC0200X | Internal Medicine, Critical Care Medicine | TL24207 | SC |
Practice location
100 Medical DrDublin, GA 31021-2559
Phone 478-272-3209 · Fax 478-272-2283
Mailing address
100 Medical DrDublin, GA 31021-2559
Phone 478-272-3209 · Fax 478-272-2283
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