Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miguel Agudelo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336725100

Miguel Agudelo, MD is a Student in an Organized Health Care Education/Training Program in Wilkes Barre, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2021.

Licensed in
PA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

950 E Mountain Dr
Wilkes Barre, PA 18711-0028
Phone: (570) 808-5780
Fax: (570) 808-5753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hepatology Physician (primary) Taxonomy 207RI0008X · Licence MD484780 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336725100
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2021
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address100 N Academy Ave, Danville, PA 17822-4903

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