Dr. Vijay Kumar Agarwal
General Practice Physician
727 N 120th St
Omaha
, Nebraska 68154-4212
Dr. Vijay Kumar Agarwal
General Practice Physician
727 N 120th St
Omaha
, Nebraska 68154-4212
(402) 493-2104
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Vijay Kumar Agarwal
- 727 N 120th St
- Omaha, NE
- Zip : 68154-4212
- Fax : (402) 493-2104
- Phone : (402) 493-2100
Second Address
- Dr. Vijay Kumar Agarwal
- 727 N 120th St
- Omaha, NE
- Zip : 68154-4212
- Fax : (402) 493-2104
- Phone : (402) 493-2100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 16006 | NE |
National Provider Identifier
| NPI | 1033267406 |
|---|---|
| Provider Name | Dr. Vijay Kumar Agarwal |
| First Address | Omaha, NE 68154-4212 |
| Second Address | Omaha, NE 68154-4212 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 35053 | BLUE CROSS PROVIDER # (01) | NE |
| 47083662100 | (05) | NE |
| E37616 | (02) | NE |
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.