Dr. Archana Mishra Agarwal, M.D.
Pathology, Hematology in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1245488667
StatusActive
Last updated in NPPESDec 3, 2021
Details
- NPI
- 1245488667
- Entity type
- Individual (NPI-1)
- Name
- Dr. Archana Mishra Agarwal
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2008
- Certification date
- Dec 3, 2021
- Last updated
- Dec 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZH0000X | Pathology, Hematology | 5990116-1205 | UT | Yes |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 5990116-1205 | UT |
Practice location
15 Medical DrEmma Eccles Jones Medical Sci, Rm 2100
Salt Lake City, UT 84112-1100
Phone 801-581-2507
Mailing address
2021 Ribbon LnHolladay, UT 84117-4323
Phone 801-414-1907
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