Individual
MRS. ANITA AGARWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2740 VALWOOD PKWY STE 121, DALLAS, TX 75234-3562
(469) 518-3200
Mailing address
PO BOX 746079, ATLANTA, GA 30374-6079
(866) 464-0875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12612737-1205
TX
207R00000X
Internal Medicine Physician
V5228
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
809840
MEDICARE GROUP PTAN
IL
Enumeration date
07/25/2006
Last updated
10/13/2025
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