Dr. Anthony Dean Agra
Internist - Addiction Medicine
290 E Town St
Columbus
, Ohio 43215-4602
Dr. Anthony Dean Agra
Internist - Addiction Medicine
290 E Town St
Columbus
, Ohio 43215-4602
(614) 788-5500
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Anthony Dean Agra
- Po Box 7527
- Dublin, OH
- Zip : 43017-0727
- Fax : (614) 788-5500
- Phone : (614) 788-5400
Second Address
- Dr. Anthony Dean Agra
- 290 E Town St
- Columbus, OH
- Zip : 43215-4602
- Fax : (614) 788-5500
- Phone : (614) 788-5400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 35073306 | OH |
National Provider Identifier
| NPI | 1649279373 |
|---|---|
| Provider Name | Dr. Anthony Dean Agra |
| First Address | Dublin, OH 43017-0727 |
| Second Address | Columbus, OH 43215-4602 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2005 |
| Last Update Date | 05/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2072206 | (05) | OH |
| G82637 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.