Individual
DR. ISHA AGARWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(617) 754-2400
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD24434
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2018
Last updated
07/19/2021
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