Bharat Das Agarwal, M.D.
Individual provider Active NPI Adult Medicine Physician · Charleston, WV
NPI 1588077366 · NPPES record last updated Jun 9, 2014
Key facts
- NPI
- 1588077366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Medicine Physician 207QA0505X
- License
- 11261 (WV)
- Practice address
- 1623 Greystone Rd
Charleston, WV 25314-2211 - Phone
- (304) 545-6102
- NPI assigned
- Jun 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11261 | WV | MD | Adult Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 11261 | WV | Yes |
Addresses
Primary practice location
1623 Greystone Rd
Charleston, WV 25314-2211
Mailing address
1623 Greystone Rd
Charleston, WV 25314-2211
Phone (304) 545-6102
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All providers in Charleston, WV · Adult Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.