Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | DO054807 | MD |
N | 207RI0011X | Interventional Cardiology | D0054807 | MD |
NPI | 1104926021 |
---|---|
Provider Name | Dr. Ramesh K Agarwal |
First Address | Salisbury, MD 21801-5454 |
Second Address | Salisbury, MD 21801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 14/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G19433 | (02) |