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Contact Information

SUBODH K AGRAWAL, MD
2005 PRINCE AVE
ATHENS, GA30606-6032
 Phone: 706-208-9700
 Fax: 706-208-0806
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SUBODH K AGRAWAL · (Male)

NPI Number 1366443640
Status Active
Credentials MD
Entity Individual
Enumeration date 08/09/2005
Last updated 03/25/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 028344
  • GA Medicaid 00414554E
  • GA Other 060047315 RR MEDICARE
Hospital affiliation(s)
  • ATHENS REGIONAL MEDICAL CENTER - (Acute Care)
    1199 PRINCE AVENUE
    ATHENS, GA 30606
  • ST MARY'S HOSPITAL - (Acute Care)
    1230 BAXTER STREET
    ATHENS, GA 30606
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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