Agrawal, Vikram

Agrawal, Vikram is an individual health care provider with primary practice located at 600 John Deere Rd Suite 308, Moline IL 61265-6869. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Agrawal, Vikram can be contacted via phone (309) 779-7900.

Contact Information

Primary practice address
600 John Deere Rd Suite 308 Moline IL 61265-6869
Phone: (309) 779-7900
Fax: (309) 779-7905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036123868 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-41434 Iowa

Profile Details

NPI number 1821227414
LBN Legal business name Agrawal, Vikram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2009
Last updated Jul 1st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821227414 NPPES
Illinois MEDICAID 036123868

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