Basic Information
| Provider Information | |||||||||
| NPI: | 1598775108 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AGARWAL | ||||||||
| FirstName: | SURESH | ||||||||
| MiddleName: | P | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 222 E DUNDEE RD | ||||||||
| Address2: | HARVEY ANESTHESIOLOGISTS SC | ||||||||
| City: | WHEELING | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60090 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8475200235 | ||||||||
| FaxNumber: | 8475200390 | ||||||||
| Practice Location | |||||||||
| Address1: | ONE INGALLS DRIVE | ||||||||
| Address2: | INGALLS MEMORIAL HOSPITAL | ||||||||
| City: | HARVEY | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7083330270 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | IL | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.