Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 54641 | TN |
N | 111NI0900X | Internist | 54641 | TN |
Y | 207SG0201X | Clinical Genetics (M.D.) | 54641 | TN |
NPI | 1659717148 |
---|---|
Provider Name | Dr. Neena Stephanie Agrawal |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-6976 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2013 |
Last Update Date | 15/09/2021 |