Individual
MIRA AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
49650 CHERRY HILL RD, SUITE 120, CANTON, MI 48187-4849
(734) 398-7800
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA062264
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G36746
UPIN
MI
Enumeration date
07/13/2006
Last updated
10/27/2011
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