Dr. Omar Agosto, MD
Radiology, Diagnostic Radiology in Philadelphia, Pennsylvania
1942403571- Practice location
- 3401 N Broad St, Philadelphia, PA 19140-5103
- Phone
- 215-707-7237
- Fax
- 215-707-9386
- Last updated
- June 7, 2013
Dr. Omar Agosto, MD is a Radiology, Diagnostic Radiology based in Philadelphia, PA. Dr. Omar Agosto, MD holds the professional credentials of MD. The NPI number for Dr. Omar Agosto, MD is 1942403571 and holds license No. 2007013148 (MO). The current practice location address is 3401 N Broad St, Philadelphia, PA 19140-5103 and the office can be reached by phone at 215-707-7237 and by fax at 215-707-9386. The NPI was assigned on June 10, 2007 and the record was last updated in NPPES on June 7, 2013.
●Provider Profile Details
- NPI Number
- 1942403571
- Provider Name
- Omar Agosto
- Credential
- MD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Enumeration Date
- June 10, 2007
- Last Update Date
- June 7, 2013
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 3401 N Broad St
Philadelphia, PA 19140-5103 - City
- Philadelphia
- State
- Pennsylvania
- ZIP
- 19140-5103
- Country
- US
- Phone Number
- 215-707-7237
- Fax Number
- 215-707-9386
✉Business Mailing Address
- Address
- 2450 W Hunting Park Ave
Philadelphia, PA 19129-1302 - City
- Philadelphia
- State
- PA
- ZIP
- 19129-1302
- Phone Number
- 215-707-7237
- Fax Number
- 215-707-9386
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | No | 2007013148 | MO |
| Radiology, Diagnostic Radiology | 2085R0202X | Yes | MD427190 | PA |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Philadelphia →?Frequently Asked Questions
What is the NPI number of Dr. Omar Agosto, MD?
The NPI number of Dr. Omar Agosto, MD is 1942403571. It was assigned on June 10, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Omar Agosto, MD?
Dr. Omar Agosto, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X) and holds license No. 2007013148 (MO).
Where does Dr. Omar Agosto, MD practice?
The practice location is 3401 N Broad St, Philadelphia, PA 19140-5103. The office can be reached at 215-707-7237 (phone) or 215-707-9386 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942403571 directly on the NPPES registry website at npiregistry.cms.hhs.gov.