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1851307615

NPI Code Detail

MEDICARE: DR. SAMIR AGARWAL M.D.

MEDICARE: DR. SAMIR AGARWAL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0127X	Trauma Surgery Physician	21001	WV
2	208C00000X	Colon & Rectal Surgery Physician	35.095858	OH
3	208C00000X	Colon & Rectal Surgery Physician	ME145876	FL
4	208600000X	Surgery Physician	35.095858	OH
5	208600000X	Surgery Physician	21001	WV
6	2086S0102X	Surgical Critical Care Physician	35.095858	OH
7	2086S0102X	Surgical Critical Care Physician	21001	WV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00358596	OTHER	WV	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851307615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMIR AGARWAL M.D.

Provider Business Mailing Address
First Line	:	2150 PENNSYLVANIA AVE NW
Second Line	:	SUITE 6B
City	:	WASHINGTON
State	:	DC
Zip	:	20037-3201
Country	:	US
Telephone Number	:	202-741-3243
Fax Number	:	202-741-3219

Provider Business Practice Location Address
First Line	:	1950 ARLINGTON ST STE 101
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34239-3508
Country	:	US
Telephone Number	:	941-917-3400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	12/02/2021

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Directions to “ DR. SAMIR AGARWAL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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