Prem K Agrawal, MD, FRCS
Individual provider Active NPI Urology Physician · Findlay, OH
NPI 1831176809 · NPPES record last updated Jul 3, 2008
Key facts
- NPI
- 1831176809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 35-045878 (OH)
- Practice address
- 1400 S Main St
Findlay, OH 45840-1304 - Phone
- (419) 422-5646
- Fax
- (419) 422-6040
- NPI assigned
- Dec 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 35-045878 | OH | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 35-045878 | OH | Yes |
Addresses
Primary practice location
1400 S Main St
Findlay, OH 45840-1304
Mailing address
2728 Foxfire LN
Findlay, OH 45840-7138
Phone (419) 422-3377
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0506974 | Medicaid | OH | |
| 6218555 | Other | OH | CIGNA |
| 000000140324 | Other | OH | ANTHEM BC/BS |
| 103455 | Other | OH | HEALTHPARTNERS |
| 1096780001 | Other | OH | ADMINISTAR FEDERAL |
| 341849644 | Other | OH | FEDERAL ID |
| 000000168601 | Other | OH | ANTHEM FEDERAL |
| 36D0351656 | Other | OH | CLIA |
| 1309147 | Other | OH | HIGHMARK BC/BS |
Other providers in Findlay, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2008. 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.