Individual
ANU AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34 MARK WEST SPRINGS RD, SANTA ROSA, CA 95403-1766
(707) 573-5200
(707) 573-5417
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(707) 573-5200
(707) 573-5417
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
952331
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13908718
CAQH
—
05
—
1639345481
—
NV
01
—
A110026
STATE MEDICAL LICENSE
CA
Enumeration date
05/01/2008
Last updated
07/29/2024
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