Individual provider · NPI-1

Nithya V Agrawal, MD., MS., MPH

Internal Medicine · Gardner, MA

NPI number1982811212
StatusActive
Last updated in NPPESJun 6, 2025

Details

NPI
1982811212
Entity type
Individual (NPI-1)
Name
Nithya V Agrawal
Credential
MD., MS., MPH
Sex
Female
Sole proprietor
No
Enumeration date
May 17, 2007
Certification date
Jun 6, 2025
Last updated
Jun 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine238872MAYes
207R00000X Internal MedicineA122236CA
207Q00000X Family Medicine238872MA

Other names

  • Nithya Venkatraman (Former Name)

Practice location

242 Green St
Gardner, MA 01440-1336

Phone 978-632-6420

Mailing address

Po Box 415348
Boston, MA 02241-5348

Phone 800-225-8885

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