IndividualActive
Gautam Agarwal, M.B.B.S.
NPI 1912982687 · Vascular Surgery Physician · Augusta, GA
Provider details
- NPI number
- 1912982687
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.B.B.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 47831 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1120 15th St
Ba-4300
Augusta, GA 30912-0004
Phone: (706) 721-3671
Approximate (ZIP-level) locationGet directions
Mailing address
1499 Walton Way
Augusta, GA 30901-2602
Additional practice locations (1)
- 1348 Walton Way Ste 5700Augusta, GA 30901-5110Phone: (706) 774-7022Fax: (706) 774-7023
Registry dates
- Enumerated
- 2005-12-14
- Last updated
- 2020-09-08
- Certified
- 2020-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.