Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 170100000X | Medical Geneticist | 35048352 | OH |
NPI | 1285615633 |
---|---|
Provider Name | Meera Agarwal |
First Address | Tiffin, OH 44883-2611 |
Second Address | Tiffin, OH 44883-2611 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2005 |
Last Update Date | 08/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0562127 | (05) | OH |