Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 0101248268 | VA |
N | 208200000X | Surgeon | 110009482-87559 | IN |
N | 208600000X | Surgeon | 110009482-87559 | IN |
NPI | 1699980540 |
---|---|
Provider Name | Avinash Agarwal |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22908-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 01/09/2010 |