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DR. MANOJ KUMAR AGRAWAL M.D.
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1689784365
Individual Registrant:DR. MANOJ KUMAR AGRAWAL M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
311 W OAK ST KISSIMMEE, FL 34741-4421 US
Tel: 407-933-1423 Fax: 407-933-7901
Tel: 407-933-1423 Fax: 407-933-7901
Contact information for business:
311 W OAK ST KISSIMMEE, FL 34741-4421 US
Tel: 407-933-1423 Fax: 407-933-7901
Tel: 407-933-1423 Fax: 407-933-7901
Registration Information:
NPI: 1689784365
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 174400000X | Other Service Providers Specialist | OH | 35083546 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 2476753 | OH | 05 |
