Individual provider · NPI-1

Nisha Agarwal

Pediatrics, Pediatric Critical Care Medicine · Fargo, ND

NPI number1174928162
StatusActive
Last updated in NPPESNov 24, 2020

Details

NPI
1174928162
Entity type
Individual (NPI-1)
Name
Nisha Agarwal
Sex
Female
Sole proprietor
No
Enumeration date
Nov 3, 2014
Certification date
Nov 24, 2020
Last updated
Nov 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0203X Pediatrics, Pediatric Critical Care Medicine16699NDYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

5225 23rd Ave S
Fargo, ND 58104-7927

Phone 701-417-2575

Mailing address

Po Box 5074
Sioux Falls, SD 57117-5074

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