Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301085877 | MI |
Y | 2080P0214X | Pediatric Pulmonologist | E-6670 | AR |
NPI | 1629268289 |
---|---|
Provider Name | Amit Agarwal |
First Address | Little Rock, AR 72202-3500 |
Second Address | Little Rock, AR 72202-3500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2007 |
Last Update Date | 28/03/2014 |