DR. KUSHAL C AGARWAL (NPI# 1487656690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487656690 |
| Entity Type | Individual |
| Full Name | DR. KUSHAL C AGARWAL |
| Credential | MD |
| Practice Address |
510 Alexander St Jonesboro LA 71251-2002 |
| Mailing Address |
145 Mossy Knoll Drive Ruston LA 71270-7075 |
| Practice Telephone | 3182592148 |
| Practice Fax Number | 3182599522 |
| Mailing Telephone | 3182592148 |
| Mailing Fax Number | 3182599522 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2012-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 09730R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1948373 | 05 | |
| LA | 1968846 | 05 | |
| CLIA # | 19D0950125 | 01 | |
| LA | DEA # | BA3793773 | 01 |
| Street Address |
510 ALEXANDER ST |
| City | JONESBORO |
| State | LA |
| Zip Code | 71251-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548477474 | Health Express Inc | Family Medicine | 510 Alexander St, Jonesboro, LA 71251-2002 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985432 | Jonathan Rogers | Non-emergency Medical Transport (VAN) | 131 Eden Circle, Jonesboro, LA 71251 | 2018-09-11 |
| 1891273546 | Charlotte Amos | Case Manager/Care Coordinator | 248 Collin Rd, Jonesboro, LA 71251 | 2018-08-04 |
| 1528429578 | Lisa Hammock | Counselor | 124 Hudson Ave, Jonesboro, LA 71251 | 2016-03-17 |
| 1851752661 | Monique Burks | Behavioral Analyst | 103 4th Street, Stepping Stones, Jonesboro, LA 71251 | 2016-03-08 |
| 1184080046 | Deon Jones | Counselor | 206 Hudson Ave, Jonesboro, LA 71251 | 2016-01-07 |
| 1942672894 | Timothy Stewart | Behavioral Analyst | 201 Forest Dr, Jonesboro, LA 71251 | 2015-10-29 |
| 1871964148 | Stacey Harrell | Social Worker | 305 Cobb Dr, Jonesboro, LA 71251 | 2015-10-13 |
| 1528398799 | Alesia Fortune | Behavioral Analyst | 103 4th St, Jonesboro, LA 71251 | 2010-01-11 |
| 1184848756 | Mayfield Chiropractic Jonesboro, LLC | Chiropractor | 520 S. Polk St., Jonesboro, LA 71251 | 2007-04-12 |
| 1093793408 | Jackson Parish Hospital | General Acute Care Hospital | 165 Beech Springs Rd, Jonesboro, LA 71251 | 2006-01-05 |
| Find all providers in zip 71251 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164919684 | Matthew Carpenter | Internal Medicine | Imrp Clinic 300 Carson Street, Jonesboro, AR 72401 | 2018-04-19 |
| 1912431487 | Mitchell Hervert | Internal Medicine | 6066 Beaver Dam Ln, Jonesboro, AR 72404-9650 | 2017-04-12 |
| 1538472246 | Ernest White Abernathy Jr. | Internal Medicine | 9026 Snipe Lane, Jonesboro, GA 30236 | 2010-07-22 |
| 1104137652 | Jason R. Casey, M.d., P.a. | Internal Medicine | 901 Osler Dr, Suite B, Jonesboro, AR 72401-4390 | 2010-06-30 |
| 1063698249 | Jaydeep Suresh Bhat | Internal Medicine | 2470 Mt. Zion Pkwy, Gastroenterology, Jonesboro, GA 30236 | 2008-01-17 |
| 1215074067 | Lydia K Alexander | Internal Medicine | Family Practice Health Care Team A, 2400 Mount Zion Parkway, Jonesboro, GA 30236 | 2007-01-31 |
| 1518011915 | Kabir A Quadir | Internal Medicine | Department of Gastroenterology, 2470 Mount Zion Parkway, Jonesboro, GA 30236 | 2007-01-22 |
| 1316013311 | Rosemary L Muoneke | Internal Medicine | Department of Nephrology, 2400 Mount Zion Parkway, Jonesboro, GA 30236 | 2006-11-28 |
| 1093726333 | General Lee Cranfill IIi | Internal Medicine | 615 E Matthews, Ste C, Jonesboro, AR 72401 | 2006-08-11 |
| 1265463277 | Clayton Healthcare, P.C. | Internal Medicine | 3139 Bay View Dr, Jonesboro, GA 30236-4139 | 2006-07-06 |
| Find all providers in JONESBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.