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Individual

MS. SHIVI AGRAWAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4800 N 22ND ST, PHOENIX, AZ 85016-4701
(602) 955-1000
(602) 508-4830
Mailing address
4800 N 22ND ST, PHOENIX, AZ 85016-4701
(602) 955-1000
(602) 508-4830

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT197746
PA
207W00000X
Ophthalmology Physician
Primary
01073681A
IN

Other

Enumeration date
06/28/2010
Last updated
10/22/2015
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