Individual provider · NPI-1

Suman Agarwal, MD

Family Medicine · Riverside, CA

NPI number1861489098
StatusActive
Last updated in NPPESJun 14, 2010

Details

NPI
1861489098
Entity type
Individual (NPI-1)
Name
Suman Agarwal
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 3, 2005
Last updated
Jun 14, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine36050CAYes

Practice location

4646 Brockton Ave
Ste 203
Riverside, CA 92506-0102

Phone 951-774-2744 · Fax 951-774-2740

Mailing address

4646 Brockton Ave
Riverside, CA 92506-0102

Phone 951-774-2800 · Fax 951-774-2846

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