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SHRUTI AGARWAL D.O.
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1912367046
Individual Registrant: SHRUTI AGARWAL D.O.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
700 W OAK ST KISSIMMEE, FL 34741-4924 US
Tel: 321-671-1730 Fax: 407-518-3923
Tel: 321-671-1730 Fax: 407-518-3923
Contact information for business:
700 W OAK ST KISSIMMEE, FL 34741-4924 US
Tel: 321-671-1730 Fax: 407-518-3923
Tel: 321-671-1730 Fax: 407-518-3923
Registration Information:
NPI: 1912367046
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
