Individual
DR. NITIN AGARWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
225 SMITH AVE N, SAINT PAUL, MN 55102-2533
(651) 241-5290
(651) 241-5705
Mailing address
225 SMITH AVE N, SAINT PAUL, MN 55102-2533
(651) 241-5290
(651) 241-5705
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
57501
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57501
MEDICAL LICENSE - MN
MN
Enumeration date
08/01/2008
Last updated
05/10/2016
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