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JAYANT PRASAD AGARWAL NPI 1508878372


NPI Information

NPI: 1508878372
Provider Name: JAYANT PRASAD AGARWAL
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
DIVISION OF PLASTIC SURGERY ADMINISTRATIVE OFFICE
30 NORTH 1900 EAST 3B205
SALT LAKE CITY, UT
ZIP 84132
Phone: (801) 585-6839
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Jayant Prasad Agarwal is a plastic and reconstructive surgery surgery in Salt Lake City, UT with 24 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Jayant Prasad Agarwal NPI is 1508878372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:2000

The provider's business location address is:

DIVISION OF PLASTIC SURGERY ADMINISTRATIVE OFFICE
30 NORTH 1900 EAST 3B205
SALT LAKE CITY, UT
ZIP 84132-001
Phone: (801) 585-6839
Fax: (801) 581-5794

The NPI 1508878372 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 10/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive SurgeryA93768CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.