Individual
DR. MANISHA AGARWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11700 N MERIDIAN ST, CARMEL, IN 46032-4656
(317) 688-3140
(317) 688-2664
Mailing address
250 N SHADELAND AVE, SUITE 130, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01069776A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000741465
ANTHEM BC/BS PIN
IN
05
—
201029450
—
IN
Enumeration date
08/11/2008
Last updated
06/30/2016
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