Provider Demographics
NPI:1992776264
Name:AGARWAL, ARVIND K (MD)
Entity type:Individual
Prefix:DR
First Name:ARVIND
Middle Name:K
Last Name:AGARWAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:20 GRAND STREET, 3RD FL
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10901-1035
Mailing Address - Country:US
Mailing Address - Phone:845-942-1001
Mailing Address - Fax:845-987-5979
Practice Address - Street 1:12 LIBERTY SQUARE MALL
Practice Address - Street 2:
Practice Address - City:STONY POINT
Practice Address - State:NY
Practice Address - Zip Code:10980-2400
Practice Address - Country:US
Practice Address - Phone:845-942-1001
Practice Address - Fax:845-942-1431
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05466900207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000000011011OtherGHI HMO
NY0176839OtherGHI PPO
NY110034987OtherRAILROAD MEDICARE
NY4123842OtherAETNA PPO
NY0056891OtherAETNA HMO
NY111011OtherWELLCARE
NY62F991OtherEMPIRE BC STONY POINT
NY700955OtherUS FAMILY HEALTH PLAN
NY01230928Medicaid
NY133693126OtherTAX ID #
NY717024OtherMVP/TACONIC IPA
NYN31516OtherHEALTHNET
NJ0525006Medicaid
NY181950OtherHIP
NY62F992OtherEMPIRE BC WEST NYACK
NYRS093OtherOXFORD
NY001702OtherCONNECTICARE
NY62F991OtherEMPIRE BC STONY POINT
NY0176839OtherGHI PPO
NYE36389Medicare UPIN