DR. SURENDRA PRAKASH AGARWAL (NPI# 1861520363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861520363 |
| Entity Type | Individual |
| Full Name | DR. SURENDRA PRAKASH AGARWAL |
| Credential | M.D. |
| Practice Address |
711 W Saint Anthony Ave Effingham IL 62401-2050 |
| Practice Telephone | 2173423800 |
| Practice Fax Number | 2173425646 |
| Mailing Telephone | 2173423800 |
| Mailing Fax Number | 2173425646 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
711 W SAINT ANTHONY AVE |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073942264 | Padma Tipirneni | Allergy & Immunology | 17608 San Bernardino Dr, Orland Park, IL 60467-8210 | 2013-11-07 |
| 1003041476 | Kevin D Lindgren | Allergy & Immunology | 610 S Maple Ave Ste 5500, Oak Park, IL 60304-2808 | 2009-05-28 |
| 1457479420 | Progressive Institute of Allergy, Inc. | Allergy & Immunology | 5351 W Lawrence Ave, Chicago, IL 60630-3627 | 2007-03-27 |
| 1134252869 | Allergy and Asthma Associates of Dupage, P.C. | Allergy & Immunology | 1020 E. Ogden Ave., Suite 205, Naperville, IL 60563 | 2007-03-13 |
| 1760513725 | Greg E Sharon Md Sc | Allergy & Immunology | 303 E Army Trail Rd Ste 403, Bloomingdale, IL 60108-2155 | 2007-03-08 |
| 1104969047 | Midwest Allergy and Asthma Specialists | Allergy & Immunology | 6743 Kingery Hwy, Willowbrook, IL 60527-5142 | 2007-02-14 |
| 1578656484 | Southwest Allergy Associates.s.c. | Allergy & Immunology | 5423 W 95th St, Oak Lawn, IL 60453-3789 | 2006-10-02 |
| 1801990007 | Janusz Langiewicz | Allergy & Immunology | 1 Executive Center Ste 3, South Barrington, IL 60010 | 2006-09-11 |
| 1710095385 | Allergy and Asthma Clinic Sc | Allergy & Immunology | 229 N Hammes Ave, Joliet, IL 60435-8100 | 2006-08-25 |
| 1003924796 | Madhu B Jain | Allergy & Immunology | 7530 S Woodward Ave Ste A, Woodridge Clinic S.c., Woodridge, IL 60517-3100 | 2006-08-25 |
| Find all providers with the same taxonomy | ||||
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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.