DEVASHISH AGARWAL M.D. NPI 1841382298

Family Medicine in Peoria, IL

About DEVASHISH AGARWAL

Devashish Agarwal is a provider in Peoria, IL with more than 20 years of experience. The NPI number assigned to this provider is 1841382298. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an individual and their NPI record was last updated 6 years ago. Devashish Agarwal is registered with Medicare and accepts claims assignment.

NPI1841382298 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name DEVASHISH AGARWAL M.D.
Provider Location Address1701 W. GARDEN STREET PEORIA, IL 61605 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1701 W. GARDEN STREET PEORIA, IL 61605 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year1998
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-29-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date11-10-2011 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DEVASHISH AGARWAL M.D.
1701 W. GARDEN STREET
PEORIA, IL
ZIP 61605
Phone: (309) 680-7600
Fax: (309) 680-7637
Get Directions

Mailing Address

DEVASHISH AGARWAL M.D.
1701 W. GARDEN STREET
PEORIA, IL
ZIP 61605
Phone: (309) 680-7600
Fax: (309) 680-7637

Primary Taxonomy

Taxonomy Code207Q00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.036-114850
License StateIL
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Map Location


DEVASHISH AGARWAL M.D. address is 1701 W. GARDEN STREET PEORIA, IL 61605

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093928566DR. M. TERESA C. FRASER M.D.
Individual
Psychiatry & Neurology (Neurology)1701 W. GARDEN STREET
PEORIA, IL 61605
(309) 680-7600
1922168293MS. YVONNE M MCCALL PA
Individual
Physician Assistant (Medical)1701 W. GARDEN STREET
PEORIA, IL 61605
(309) 680-7600