Shubham Agrawal
Internal Medicine, Hematology & Oncology in Minneapolis, MN. Individual provider (NPI-1).
NPI number1407428261
StatusActive
Last updated in NPPESOct 14, 2024
Details
- NPI
- 1407428261
- Entity type
- Individual (NPI-1)
- Name
- Shubham Agrawal
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2021
- Certification date
- Oct 14, 2024
- Last updated
- Oct 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | 34536 | MN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | MT222282 | PA |
Practice location
420 Delaware St SeMinneapolis, MN 55455-0341
Phone 612-626-0400
Mailing address
1367 Willow St Apt 345Minneapolis, MN 55403-2583
Phone 773-999-1875
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