Basic Information
Provider Information
NPI: 1447556295
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AGARWAL
FirstName: SHILPI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 130 SUTTER ST
Address2: 2ND FLOOR
City: SAN FRANCISCO
State: CA
PostalCode: 941044003
CountryCode: US
TelephoneNumber: 4156586791
FaxNumber:  
Practice Location
Address1: 1627 EYE ST NW
Address2: SUITE 800
City: WASHINGTON
State: DC
PostalCode: 200064007
CountryCode: US
TelephoneNumber: 2026600015
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/26/2011
LastUpdateDate: 04/19/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XA114387CAN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XMD042366DCY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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