Individual
DR. NEERA AGARWAL-ANTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1325 CORPORATE DR, SUITE A, HUDSON, OH 44236-4432
(330) 650-4200
(330) 386-9302
Mailing address
PO BOX 74666, CLEVELAND, OH 44194-0002
(330) 650-4200
(330) 386-9302
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
35-078663
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000231839
ANTHEM PROVIDER NUMBER
OH
01
—
P00097384
RR MEDICARE PROVIDER NUMB
OH
Enumeration date
04/11/2006
Last updated
07/08/2007
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