Doctor Name: | ADHISH K AGARWAL |
NPI Number: | 1164424750 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4929797 1205 |
Business Practice Address: | 425 E 5350 S Ste 320 Ogden, UT - 844056946 |
Business Phone Number: | 8014791117 |
Business Fax Number: | 8014761621 |
Mailing Address: | 425 E 5350 S, Ste 320 OGDEN |
State: | UT |
Postal Code: | 844056946 |
Phone Number: | 8014791117 |
Fax Number: | 8014761621 |
NPI Enumeration Date: | 08/12/2005 |
NPI Last Update Date: | 08/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 4929797 1205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |