Ravindra Agarwal, M.D.

Individual provider Active NPI Nephrology Physician · Columbus, GA

NPI 1891753190 · NPPES record last updated Mar 14, 2008

Key facts

NPI
1891753190
Entity type
Individual (NPI type 1)
Primary specialty
Nephrology Physician 207RN0300X
License
048134 (GA)
Practice address
1110 13TH Street
Columbus, GA 31901
Phone
(706) 494-8900
Fax
(706) 494-8901
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23082ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Agarwal Nephrology and Hypertension PC Nephrology Current
since Jul 1, 2013
Accepting new patients
Internal Medicine Education & Research Foundation of Columbus, Inc Past Accepting new patients
Internal Medicine Education and Research Foundation Past Accepting new patients

Locations

2022 10th Ave
Ste B
Columbus, GA 31901
Phone (706) 494-8900

1110 13th St
Columbus, GA 31901
Phone (706) 494-8900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/677/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 048134 GA Yes

Addresses

Primary practice location

1110 13TH Street
Columbus, GA 31901

Mailing address

8753 River Rd
Columbus, GA 31904-1119
Phone (706) 660-9340

Other providers in Columbus, GA

All providers in Columbus, GA · Nephrology Physician in Georgia

Sources for this page

Verify at the official NPI Registry.