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Dr. Anthony Dean Agra, MD
Addiction Medicine (Internal Medicine) Physician in Columbus, Ohio
NPI 1649279373

Anthony Dean Agra is an Addiction Medicine (Internal Medicine) Physician based in Dublin, OH and is specialized in Addiction Medicine. Anthony Dean Agra practices in Columbus, OH and has the professional credentials of MD. The NPI Number for Anthony Dean Agra is 1649279373 and holds a License No. 35-073306 (Ohio).

The current practice location address for Anthony Dean Agra is 290 E Town St, Columbus, OH and can be reached out via phone at 614-788-5400 and via fax at 614-788-5500.

Location: 290 E Town St, Columbus, OH, 43017-0727
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649279373
Provider Name
Anthony Dean Agra
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
290 E Town St, Columbus, OH, 43017-0727
Phone Number
614-788-5400
Fax Number
614-788-5500
Provider Enumeration Date
07/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2072206 05 OH
institution
Provider Business Practice Location Address Details
Address
290 E Town St
City
Columbus
State
Ohio
Zip
43215-4602
Phone Number
614-788-5400
Fax Number
614-788-5500
person
Provider Business Mailing Address Details
Address
290 E Town St
City
Columbus
State
Ohio
Zip
43215-4602
Phone Number
614-788-5400
Fax Number
614-788-5500
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
35073306 (Ohio)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
35-073306 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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