Agudelo, Miguel
Agudelo, Miguel is an individual health care provider with primary practice located at 950 E Mountain Dr , Wilkes Barre PA 18711-0028. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hepatology. Allopathic & Osteopathic Physicians / Hepatology is his primary health care specialty. Agudelo, Miguel can be contacted via phone (570) 808-5780.Contact Information
Primary practice address
950 E Mountain Dr
Wilkes Barre PA 18711-0028
Phone: (570) 808-5780
Fax: (570) 808-5753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | MD484780 | Pennsylvania |
Profile Details
| NPI number | 1336725100 |
|---|---|
| LBN Legal business name | Agudelo, Miguel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2021 |
| Last updated | Aug 7th, 2026 - about 2 months 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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