Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | ME91699 | FL |
NPI | 1972539237 |
---|---|
Provider Name | Dr. Anurag Agarwal |
First Address | Naples, FL 34108-2068 |
Second Address | Naples, FL 34108-2068 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2006 |
Last Update Date | 01/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I40120 | (02) | FL |