Provider Demographics
NPI:1396144937
Name:AGNAR HEALTH SOLUTIONS, INC.
Entity type:Organization
Organization Name:AGNAR HEALTH SOLUTIONS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANGANATH
Authorized Official - Middle Name:K
Authorized Official - Last Name:ATHRI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:517-580-0575
Mailing Address - Street 1:2109 HAMILTON RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-1772
Mailing Address - Country:US
Mailing Address - Phone:517-580-0575
Mailing Address - Fax:866-942-3842
Practice Address - Street 1:2109 HAMILTON RD
Practice Address - Street 2:SUITE 215
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-1772
Practice Address - Country:US
Practice Address - Phone:517-580-0575
Practice Address - Fax:866-942-3842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-20
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI7924Medicare PIN