Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUBODH K AGRAWAL, MD
Active Sole ProprietorSUBODH K AGRAWAL, MD is a Vascular Surgery healthcare provider located in ATHENS, Georgia. NPI 1366443640 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · ATHENS, GA
Registration Details
- NPI Number
- 1366443640
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2005 (21.022867144929 yrs)
- Last Updated
- Jul 24, 2025
- Licenses
-
028344 (GA)028344 (GA)028344 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2005 PRINCE AVEATHENS, GA, 306066032Browse GA providers · Browse ZIP 30606
- Phone
- 7062089700
- Fax
- 7062080806
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Sports Medicine (IM)
- Additional Specialty
- Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.