Healthcare Provider Details

I. General information

NPI: 1730172990
Provider Name (Legal Business Name): NIKHILESHWER NATH AGARWAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: NIKHILESH AGARWAL MD

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1314 ANGLESEY DR
DAVIDSONVILLE MD
21035-1264
US

IV. Provider business mailing address

1314 ANGLESEY DR
DAVIDSONVILLE MD
21035-1264
US

V. Phone/Fax

Practice location:
  • Phone: 717-332-7990
  • Fax:
Mailing address:
  • Phone: 717-332-7990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD024908E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberD0018257
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberD0018257
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD024908E
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD024908E
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberD0018257
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: