MEDICARE: HIMANSHU AGARWAL MD

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	207RI0011X	Interventional Cardiology Physician	22064	NE
2	207RI0011X	Interventional Cardiology Physician	MD-37445	IA

General Provider Information

NPI Number	:	1942280672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HIMANSHU AGARWAL MD

Provider Business Mailing Address
First Line	:	7261 MERCY RD
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68124-2311
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 MERCY RD
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68124-2319
Country	:	US
Telephone Number	:	402-398-5880
Fax Number	:	402-398-6716

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

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	01/12/2017

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Directions to “ HIMANSHU AGARWAL MD” Practice Location

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