DR. VIJAY KUMAR AGARWAL (NPI# 1033267406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033267406 |
Entity Type | Individual |
Full Name | DR. VIJAY KUMAR AGARWAL |
Credential | M.D. |
Practice Address |
727 N 120th St Omaha NE 68154-4212 |
Practice Telephone | 4024932100 |
Practice Fax Number | 4024932104 |
Mailing Telephone | 4024932100 |
Mailing Fax Number | 4024932104 |
Enumeration Date | 2007-01-08 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 16006 | NE | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 47083662100 | 05 | |
NE | BLUE CROSS PROVIDER # | 35053 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609964154 | Vijay P. Agarwal | Internal Medicine | 1330 N Indian Canyon Dr Ste F, Palm Springs, CA 92262-4880 | 2006-10-10 |
1861587917 | Vijay Agarwal | Dentist | 2711 W Eau Gallie Blvd, Melbourne, FL 32935-8922 | 2006-10-04 |
1902123128 | Vijay Agarwal | Neurological Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2010-04-27 |
1972736023 | Vijay Kumar Agarwal | Internal Medicine | 601 W 2nd St, Bloomington, IN 47403 | 2009-08-24 |
Street Address |
727 N 120TH ST |
City | OMAHA |
State | NE |
Zip Code | 68154-4212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639678303 | Midwest Urgent Care,llc | General Practice | 727 N 120th St, Omaha, NE 68154-4212 | 2018-02-07 |
1336549211 | Kathryn Sara Shanahan | Physician Assistant | 727 N 120th St, Omaha, NE 68154-4212 | 2014-08-28 |
1205257821 | Midwest Urgent Care | General Practice | 727 N 120th St, Omaha, NE 68154-4212 | 2013-12-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
1891318150 | Pure Massage, LLC | Massage Therapist | Pure Massage, LLC, 11316 Davenport St, Omaha, NE 68154 | 2020-05-21 |
1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
Find all providers in zip 68154 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447723325 | Infinite Options LLC | General Practice | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2019-01-03 |
1013283431 | Daniel J Gross | General Practice | 1501 Jackson St Ste 100, Omaha, NE 68102-3146 | 2012-03-29 |
1255644787 | Joseph Kennedy Costello Iv | General Practice | 224 N. 49th St. #4a, Omaha, NE 68132 | 2010-07-26 |
1326369075 | Gbgh | General Practice | 12309 Gold Street, Omaha, NE 68144-2760 | 2010-06-17 |
1477875649 | James Bane | General Practice | 11106 N 61st St, Omaha, NE 68152-1470 | 2010-02-15 |
1902058381 | Antoinette Louise Tribulato | General Practice | 405 N 39th St, Omaha, NE 68131-2308 | 2008-10-16 |
1801076559 | Kay E Ticen Md | General Practice | 6818 Grover St Ste 201, Omaha, NE 68106-3632 | 2007-11-10 |
1639371099 | Ronald Iver Peterson | General Practice | 6025 Country Club Oaks Place, Omaha, NE 68152-2009 | 2007-06-05 |
1225660244 | 88 Medicine LLC | General Practice | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2020-02-07 |
1033769559 | Jackson Medical Services | General Practice | 17650 Wright St Ste 5, Omaha, NE 68130-2800 | 2019-09-17 |
Find all providers in OMAHA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.